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NPI Code Detail

MEDICARE: KINGS COUNTY HOSPITAL CENTER

MEDICARE: KINGS COUNTY HOSPITAL CENTER
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
1282NC0060XCritical Access Hospital133950NY

General Provider Information

NPI Number : 1578640520
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGS COUNTY HOSPITAL CENTER
Provider Business Mailing Address
First Line : 4016 31ST AVE
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4016 31ST AVE
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3400
Country : US
Telephone Number : 718-626-7029
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. NICOLA MERTSARIS
Credential : M.D.,
Telephone Number : 718-626-7029
Provider Enumeration Date : 11/01/2006
Last Update Date : 12/11/2008

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Directions to “KINGS COUNTY HOSPITAL CENTER ” Practice Location

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