| Queens Ny Medical Health Care Pc | |
|
14351 Roosevelt Ave Ste 1b Flushing NY 11354-6106 | |
| (917) 601-4995 | |
| Not Available |
| Full Name | Queens Ny Medical Health Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14351 Roosevelt Ave Ste 1b, Flushing, New York |
| Authorized Official Name and Position | Qi Ling (PRESIDENT) |
| Authorized Official Contact | 9176014995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Ny Medical Health Care Pc 6740 Juno St Forest Hills NY 11375-4141 Ph: (917) 601-4995 | Queens Ny Medical Health Care Pc 14351 Roosevelt Ave Ste 1b Flushing NY 11354-6106 Ph: (917) 601-4995 |
| NPI Number | 1215394184 |
|---|---|
| Provider Enumeration Date | 01/24/2016 |
| Last Update Date | 01/24/2016 |
| Medicare PECOS PAC ID | 2163729922 |
|---|---|
| Medicare Enrollment ID | O20160323000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215394184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 260960 (New York) | Primary |
| Provider Name | Qi Ling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094867 PECOS PAC ID: 4587961347 Enrollment ID: I20160323000734 |
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