| Grace Medical Care, Pllc | |
|
13347 Sanford Ave Ste C1g Flushing NY 11355-5816 | |
| (718) 886-7888 | |
| (718) 886-9120 |
| Full Name | Grace Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13347 Sanford Ave Ste C1g, Flushing, New York |
| Authorized Official Name and Position | Bin Wang (PRESIDENT) |
| Authorized Official Contact | 7188867888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Care, Pllc 48 Kensington Cir Manhasset NY 11030-4106 Ph: (718) 886-7888 | Grace Medical Care, Pllc 13347 Sanford Ave Ste C1g Flushing NY 11355-5816 Ph: (718) 886-7888 |
| NPI Number | 1255513487 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 9335132364 |
|---|---|
| Medicare Enrollment ID | O20040406000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255513487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 217425 (New York) | Primary |
| Provider Name | Bin Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942335096 PECOS PAC ID: 8729972328 Enrollment ID: I20040213000116 |
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