| Hailiu Zuo, Physician,pc | |
|
83 18 Cornish Ave Elmhurst NY 11373 | |
| (718) 779-8880 | |
| Not Available |
| Full Name | Hailiu Zuo, Physician,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 83 18 Cornish Ave, Elmhurst, New York |
| Authorized Official Name and Position | Hailiu Zuo (PRESIDENT) |
| Authorized Official Contact | 7187798880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hailiu Zuo, Physician,pc 266 Jericho Tpke Mineola NY 11501-1609 Ph: (516) 294-8889 | Hailiu Zuo, Physician,pc 83 18 Cornish Ave Elmhurst NY 11373 Ph: (718) 779-8880 |
| NPI Number | 1639240658 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 4082518345 |
|---|---|
| Medicare Enrollment ID | O20031120000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639240658 | NPI | - | NPPES |
| 01724083 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 192825 (New York) | Primary |
| Provider Name | Hailiu Zuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780771592 PECOS PAC ID: 8527972884 Enrollment ID: I20031119000581 |
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