| Castle Of Health Medical Office, P.c. | |
|
3916 Prince St Ste 351 Flushing NY 11354-5361 | |
| (718) 358-6768 | |
| (718) 358-6783 |
| Full Name | Castle Of Health Medical Office, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3916 Prince St Ste 351, Flushing, New York |
| Authorized Official Name and Position | Yuan Yi Li (PRESIDENT) |
| Authorized Official Contact | 7183586768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Of Health Medical Office, P.c. 45 N Clover Dr Great Neck NY 11021-1013 Ph: (718) 358-6768 | Castle Of Health Medical Office, P.c. 3916 Prince St Ste 351 Flushing NY 11354-5361 Ph: (718) 358-6768 |
| NPI Number | 1982800439 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 01/17/2016 |
| Medicare PECOS PAC ID | 4587693098 |
|---|---|
| Medicare Enrollment ID | O20050804001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982800439 | NPI | - | NPPES |
| 02596647 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 232861 (New York) | Primary |
| Provider Name | Yuan Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841261062 PECOS PAC ID: 7416915343 Enrollment ID: I20041223000302 |
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