Provider Demographics
NPI:1831639426
Name:THE FLOATING HOSPITAL INC.
Entity Type:Organization
Organization Name:THE FLOATING HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:718-784-2240
Mailing Address - Street 1:41-20 27TH STREET
Mailing Address - Street 2:THE FLOATING HOSPITAL INC.
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3825
Mailing Address - Country:US
Mailing Address - Phone:718-784-2240
Mailing Address - Fax:718-683-5751
Practice Address - Street 1:8-13 ASTORIA BLVD
Practice Address - Street 2:THE FLOATING HOSPITAL INC.
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4028
Practice Address - Country:US
Practice Address - Phone:718-545-0934
Practice Address - Fax:718-683-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04721179Medicaid