| Danada Internal Medicine, P.c. | |
|
157-02 Northern Blvd. Flushing NY 11354 | |
| (646) 373-1210 | |
| Not Available |
| Full Name | Danada Internal Medicine, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 157-02 Northern Blvd., Flushing, New York |
| Authorized Official Name and Position | Jean Rhee (DIRECTOR) |
| Authorized Official Contact | 6463731210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danada Internal Medicine, P.c. 4028 College Point Blvd Apt 1107 Flushing NY 11354-5150 Ph: (646) 373-1210 | Danada Internal Medicine, P.c. 157-02 Northern Blvd. Flushing NY 11354 Ph: (646) 373-1210 |
| NPI Number | 1922439157 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Medicare PECOS PAC ID | 2769613157 |
|---|---|
| Medicare Enrollment ID | O20140328000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922439157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2728861 (New York) | Primary |
| Provider Name | Jean Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952606485 PECOS PAC ID: 9931330321 Enrollment ID: I20140328000043 |
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