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NPI Code Detail

MEDICARE: QLI HOSPITALIST SERVICES, P.C.

MEDICARE: QLI HOSPITALIST SERVICES, P.C.
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
1207R00000XInternal Medicine PhysicianNY

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 : 1780092882
Entity Type Code : Organization
Provider Name (Legal Business Name) : QLI HOSPITALIST SERVICES, P.C.
Provider Business Mailing Address
First Line : 4204 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10466-3014
Country : US
Telephone Number : 347-778-5220
Fax Number : 347-778-5049
Provider Business Practice Location Address
First Line : 4204 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10466-3014
Country : US
Telephone Number : 347-778-5188
Fax Number : 347-778-5049
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. AJAY JAIN
Credential : MD
Telephone Number : 917-685-5553
Provider Enumeration Date : 08/01/2014
Last Update Date : 11/18/2024

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Directions to “QLI HOSPITALIST SERVICES, P.C. ” Practice Location

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