| George Lum | |
|
136-30 Maple Ave Flushing NY 11355 | |
| (718) 267-0510 | |
| Not Available |
| Full Name | George Lum |
|---|---|
| Speciality | Internal Medicine |
| Location | 136-30 Maple Ave, Flushing, New York |
| Authorized Official Name and Position | George Lum (OWNER) |
| Authorized Official Contact | 7182670510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Lum 136-30 Maple Ave Flushing NY 11355 Ph: (718) 267-0510 | George Lum 136-30 Maple Ave Flushing NY 11355 Ph: (718) 267-0510 |
| NPI Number | 1861640419 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861640419 | NPI | - | NPPES |
| 01041372 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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