Provider Demographics
NPI:1598965261
Name:FLUSHING HOSPITAL MEDICAL CENTER
Entity Type:Organization
Organization Name:FLUSHING HOSPITAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN,DEPT. OF PEDIATRICS
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-670-5535
Mailing Address - Street 1:3724 S VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1074
Mailing Address - Country:US
Mailing Address - Phone:732-669-7021
Mailing Address - Fax:732-669-7021
Practice Address - Street 1:FLUSHING HOSPITAL MEDICAL CENTER
Practice Address - Street 2:45 AVE AT PARSONS BLVD
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-5535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237884284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital