Organization · NPI-2

New York City Health And Hospitals Corporation

Clinic/Center · Jackson Heights, NY

NPI number1225765621
StatusActive
Last updated in NPPESApr 2, 2025

Details

NPI
1225765621
Entity type
Organization (NPI-2)
Legal business name
New York City Health And Hospitals Corporation
Organization subpart
No
Enumeration date
Aug 4, 2022
Certification date
Apr 2, 2025
Last updated
Apr 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
207R00000X Internal Medicine––

Other names

  • Roosevelt Community Health Center Of Excellence (Doing Business As)

Practice location

3750 72nd St
Jackson Heights, NY 11372-6143

Phone 212-238-7815 · Fax 212-238-7629

Mailing address

3750 72nd St
Jackson Heights, NY 11372-6143

Phone 466-615-7800 · Fax 466-615-7890

Authorized official

Luchy Jackson
Director Of Managed Care
2122387815

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