| Yongming Mao Physician Pc | |
|
1675 W 1st St Suite 2 Brooklyn NY 11223-1744 | |
| (718) 690-8682 | |
| Not Available |
| Full Name | Yongming Mao Physician Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1675 W 1st St, Brooklyn, New York |
| Authorized Official Name and Position | Yongming Mao (PRESIDENT) |
| Authorized Official Contact | 7186908682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yongming Mao Physician Pc 1675 W 1st St Suite 2 Brooklyn NY 11223-1744 Ph: () - | Yongming Mao Physician Pc 1675 W 1st St Suite 2 Brooklyn NY 11223-1744 Ph: (718) 690-8682 |
| NPI Number | 1710019815 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710019815 | NPI | - | NPPES |
| 02758881 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 233817 (New York) | Primary |
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