MEDICARE: ZUCKER HILLSIDE HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1285842062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZUCKER HILLSIDE HOSPITAL

Provider Business Mailing Address
First Line	:	7516 182ND ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11366-1614
Country	:	US
Telephone Number	:	917-834-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	7959 263RD ST
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1306
Country	:	US
Telephone Number	:	718-780-4265
Fax Number	:

Authorized Official
Title or Position	:	HOUSE STAFF
Name	:	DR. HOONHEE SHIN
Credential	:	M.D.
Telephone Number	:	718-470-8005

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	11/05/2008

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Directions to “ZUCKER HILLSIDE HOSPITAL ” Practice Location

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