J & J Medical Care Pllc | |
14351 Roosevelt Ave Suite 1b Flushing NY 11354-6106 | |
(718) 359-5603 | |
(718) 359-5610 |
Full Name | J & J Medical Care Pllc |
---|---|
Speciality | Clinic/Center |
Location | 14351 Roosevelt Ave, Flushing, New York |
Authorized Official Name and Position | Jason Shixie Liu (PRESIDENT) |
Authorized Official Contact | 7183595603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
J & J Medical Care Pllc 7523 195th St Fresh Meadows NY 11366-1841 Ph: (718) 359-5603 | J & J Medical Care Pllc 14351 Roosevelt Ave Suite 1b Flushing NY 11354-6106 Ph: (718) 359-5603 |
NPI Number | 1639252380 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 07/10/2008 |
Medicare PECOS PAC ID | 6608948328 |
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Medicare Enrollment ID | O20080711000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639252380 | NPI | - | NPPES |
02198658 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 216399 (New York) | Primary |
Provider Name | Jason Shixie Liu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669558870 PECOS PAC ID: 1254403041 Enrollment ID: I20080711000053 |
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