| Advanced Quality Medical Pc | |
|
8324 Cornish Ave Elmhurst NY 11373-3754 | |
| (718) 424-0770 | |
| (718) 424-2590 |
| Full Name | Advanced Quality Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8324 Cornish Ave, Elmhurst, New York |
| Authorized Official Name and Position | Karen T Lee (PRESIDENT) |
| Authorized Official Contact | 7184240770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Quality Medical Pc 8324 Cornish Ave Elmhurst NY 11373-3754 Ph: (718) 424-0770 | Advanced Quality Medical Pc 8324 Cornish Ave Elmhurst NY 11373-3754 Ph: (718) 424-0770 |
| NPI Number | 1265793517 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 9739344805 |
|---|---|
| Medicare Enrollment ID | O20120625000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265793517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 242926 (New York) | Primary |
| Provider Name | Karen T Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629124045 PECOS PAC ID: 5193892990 Enrollment ID: I20080919000527 |
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