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General NPI Number Information
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NPI Number | 1568703619
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Entity Type | Organization
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Legal Business Name | FLUSHING HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 14601 45TH AVE SUITE # 205
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City | FLUSHING
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State | NY
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Zip | 11355-2200
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Country | US
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Telephone | 718-670-5078
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Fax | 718-670-8847
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Provider Business Mailing Address
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Address Line | 14601 45TH AVE SUITE # 205
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City | FLUSHING
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State | NY
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Zip | 11355-2200
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Country | US
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Telephone | 718-670-5078
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Fax | 718-670-8847
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. IRA FRANKLE
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Credential | PH.D.
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Telephone | 718-670-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 087939
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License Number State | NY
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