MARY IMMACULATE HOSPITAL NPI 1316041924

NPI Information

MARY IMMACULATE HOSPITAL is an oral and maxillofacial surgery dentist in Jamaica, NY. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MARY IMMACULATE HOSPITAL NPI is 1316041924. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11449 SUTPHIN BLVD
JAMAICA, NY
ZIP 11434-022
Phone: (718) 558-6622

The provider's authorized official is Marina Adelman .
The authorized official title is Billing Department and has the following contact phone number (718) 743-7090.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 12/21/2007.

Taxonomy Codes

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