Elmhurst Medical Pllc | |
9418 57th Ave Elmhurst NY 11373-5147 | |
(718) 717-2002 | |
(877) 926-7112 |
Full Name | Elmhurst Medical Pllc |
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Speciality | Internal Medicine |
Location | 9418 57th Ave, Elmhurst, New York |
Authorized Official Name and Position | Yiling Huang (MD) |
Authorized Official Contact | 7187172002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elmhurst Medical Pllc 9418 57th Ave Elmhurst NY 11373-5147 Ph: (718) 717-2002 | Elmhurst Medical Pllc 9418 57th Ave Elmhurst NY 11373-5147 Ph: (718) 717-2002 |
NPI Number | 1073880548 |
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Provider Enumeration Date | 11/28/2011 |
Last Update Date | 11/16/2012 |
Medicare PECOS PAC ID | 2668631888 |
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Medicare Enrollment ID | O20120307000847 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073880548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 177832 (New York) | Primary |
Provider Name | Yiling X. Huang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316988504 PECOS PAC ID: 6103006424 Enrollment ID: I20110203000585 |
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