Gao Medical Pllc | |
4231 Colden St Ste 205 Flushing NY 11355-3981 | |
(718) 961-9593 | |
(718) 961-9594 |
Full Name | Gao Medical Pllc |
---|---|
Speciality | Internal Medicine |
Location | 4231 Colden St Ste 205, Flushing, New York |
Authorized Official Name and Position | Ling Min Gao (PHYSICIAN) |
Authorized Official Contact | 7189619593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gao Medical Pllc 4231 Colden St Ste 205 Flushing NY 11355-3981 Ph: (718) 961-9593 | Gao Medical Pllc 4231 Colden St Ste 205 Flushing NY 11355-3981 Ph: (718) 961-9593 |
NPI Number | 1326058546 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8123038254 |
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Medicare Enrollment ID | O20060503000432 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326058546 | NPI | - | NPPES |
01999944 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 214860 (New York) | Primary |
Provider Name | Ling Min Gao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215947429 PECOS PAC ID: 7113940271 Enrollment ID: I20060104000746 |
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