| NPI | 1710009709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE MANGOME Physician Assistant 718-670-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 04055-1) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |