Provider Demographics
NPI:1649554510
Name:JAMAICA HOSPITAL MENTHAL HEALTH
Entity type:Organization
Organization Name:JAMAICA HOSPITAL MENTHAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, DEPARTMENT OF PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:SEETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VIVEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-206-6000
Mailing Address - Street 1:8900 VAN WYCK EXPY
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2832
Mailing Address - Country:US
Mailing Address - Phone:718-206-6000
Mailing Address - Fax:
Practice Address - Street 1:8900 VAN WYCK EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-206-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:14227005065
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260371-1282NC0060X
NY260371261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access