Deng Medical Pc | |
4202 Kissena Blvd Suite 1b Flushing NY 11355-3214 | |
(718) 539-8746 | |
(718) 463-2197 |
Full Name | Deng Medical Pc |
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Speciality | Clinic/Center |
Location | 4202 Kissena Blvd, Flushing, New York |
Authorized Official Name and Position | Juliang Deng (PRESIDENT) |
Authorized Official Contact | 7185398746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Deng Medical Pc 4202 Kissena Blvd Suite 1b Flushing NY 11355-3214 Ph: (718) 539-8746 | Deng Medical Pc 4202 Kissena Blvd Suite 1b Flushing NY 11355-3214 Ph: (718) 539-8746 |
NPI Number | 1730367723 |
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Provider Enumeration Date | 02/01/2008 |
Last Update Date | 03/03/2008 |
Medicare PECOS PAC ID | 6406994136 |
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Medicare Enrollment ID | O20091117000380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730367723 | NPI | - | NPPES |
01837512 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 200689 (New York) | Primary |
Provider Name | Juliang Deng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164547402 PECOS PAC ID: 2466467709 Enrollment ID: I20060208000341 |
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