| Yang Qiu Dds Pllc | |
|
3808 Union St Ste 4c Flushing NY 11354-5670 | |
| (718) 440-6603 | |
| Not Available |
| Full Name | Yang Qiu Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3808 Union St Ste 4c, Flushing, New York |
| Authorized Official Name and Position | Yang Qiu (OWNER) |
| Authorized Official Contact | 7184406603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yang Qiu Dds Pllc 3808 Union St Ste 4c Flushing NY 11354-5670 Ph: (718) 440-6603 | Yang Qiu Dds Pllc 3808 Union St Ste 4c Flushing NY 11354-5670 Ph: (718) 440-6603 |
| NPI Number | 1760137194 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Medicare PECOS PAC ID | 0042688954 |
|---|---|
| Medicare Enrollment ID | O20221128001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760137194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Yang Qiu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386145464 PECOS PAC ID: 1951779867 Enrollment ID: I20221128001622 |
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