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NPI Code Detail

MEDICARE: THE FLOATING HOSPITAL INC.

MEDICARE: THE FLOATING HOSPITAL INC.
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
1261Q00000XClinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306954631
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE FLOATING HOSPITAL INC.
Provider Business Mailing Address
First Line : PO BOX 8397
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-8397
Country : US
Telephone Number : 718-784-2240
Fax Number : 718-784-0240
Provider Business Practice Location Address
First Line : 2101 41ST AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4801
Country : US
Telephone Number : 718-784-2240
Fax Number : 347-579-0518
Authorized Official
Title or Position : PRESIDENT/GENERAL COUNSEL
Name : SEAN T GRANAHAN
Credential : ESQ.
Telephone Number : 718-784-2240
Provider Enumeration Date : 08/28/2006
Last Update Date : 11/10/2022

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1477781839 — DR. JONATHAN DERK ZIMMERMAN M.D.
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1740767755 — THE FLOATING HOSPITAL INC.
Practice Location Address:
2101 41ST AVE
LONG ISLAND CITY, NY
11101-4801
Practice Phone: 718-784-2240
Practice Fax: 347-579-0518

Directions to “THE FLOATING HOSPITAL INC. ” Practice Location

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