| Weiyi Gao Medical Pllc | |
|
13668 Roosevelt Ave Ste 4c Flushing NY 11354-5510 | |
| (917) 563-1697 | |
| (917) 563-1804 |
| Full Name | Weiyi Gao Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13668 Roosevelt Ave Ste 4c, Flushing, New York |
| Authorized Official Name and Position | Weiyi Gao (MD) |
| Authorized Official Contact | 6462216104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weiyi Gao Medical Pllc 83 Somerset Dr S Great Neck NY 11020-1821 Ph: () - | Weiyi Gao Medical Pllc 13668 Roosevelt Ave Ste 4c Flushing NY 11354-5510 Ph: (917) 563-1697 |
| NPI Number | 1659861169 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 6709132814 |
|---|---|
| Medicare Enrollment ID | O20180703001517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659861169 | NPI | - | NPPES |
| 1760642961 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Weiyi Gao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760642961 PECOS PAC ID: 3971780354 Enrollment ID: I20110613000332 |
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