Mountview Medical Pc | |
829 57th St # 5 Brooklyn NY 11220-3677 | |
(718) 964-3930 | |
Not Available |
Full Name | Mountview Medical Pc |
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Speciality | Psychiatry & Neurology |
Location | 829 57th St # 5, Brooklyn, New York |
Authorized Official Name and Position | Mellissa Gu (MANAGER) |
Authorized Official Contact | 7189643930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountview Medical Pc 829 57th St # 5 Brooklyn NY 11220-3677 Ph: (718) 964-3930 | Mountview Medical Pc 829 57th St # 5 Brooklyn NY 11220-3677 Ph: (718) 964-3930 |
NPI Number | 1124593082 |
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Provider Enumeration Date | 10/08/2018 |
Last Update Date | 10/08/2018 |
Medicare PECOS PAC ID | 0749526648 |
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Medicare Enrollment ID | O20190115000405 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124593082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Yongming Mao |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326060740 PECOS PAC ID: 3375548639 Enrollment ID: I20070322000438 |
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