JCL MEDICAL P.C. NPI 1407372428

NPI Information

JCL MEDICAL, P.C. is a primary care clinic center in Richmond Hill, NY. JCL MEDICAL, P.C. NPI is 1407372428. The provider is registered as an organization entity type.

The provider's business location address is:

10119 JAMAICA AVE
RICHMOND HILL, NY
ZIP 11418-008
Phone: (718) 709-4721
Fax: (718) 709-4733

The provider's authorized official is Jeannette Elizabeth Cano-landivar .
The authorized official title is Medical Director and has the following contact phone number (718) 709-4721.

The CLIA number assigned to this NPI record is 33D2117541 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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