Provider Demographics
NPI:1134376254
Name:JAMAICA HOSPITAL MEDICAL CENTER
Entity type:Organization
Organization Name:JAMAICA HOSPITAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OB/GYN NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALICEA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:718-291-3276
Mailing Address - Street 1:425 E 63RD ST
Mailing Address - Street 2:E7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:133-03 JAIMAICA AVE WOMENS HEALTH
Practice Address - Street 2:JAMAICA HOSPITAL MEDICAL CENTER
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-291-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360335261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility