| Healthland Medical Care Pllc | |
|
43-16 215th St Bayside NY 11356 | |
| (718) 224-0120 | |
| Not Available |
| Full Name | Healthland Medical Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43-16 215th St, Bayside, New York |
| Authorized Official Name and Position | Pei Gao (OWNER) |
| Authorized Official Contact | 3493929326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthland Medical Care Pllc 9 York Dr Great Neck NY 11021-3921 Ph: (347) 392-9326 | Healthland Medical Care Pllc 43-16 215th St Bayside NY 11356 Ph: (718) 224-0120 |
| NPI Number | 1790027985 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Medicare PECOS PAC ID | 0547402182 |
|---|---|
| Medicare Enrollment ID | O20130812000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790027985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 266380 (New York) | Primary |
| Provider Name | Pei Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427326065 PECOS PAC ID: 2769634914 Enrollment ID: I20121214000320 |
| Provider Name | Tze-hsuan Chao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425891 PECOS PAC ID: 2466866918 Enrollment ID: I20210125003113 |
| Provider Name | Wenjia Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330024 PECOS PAC ID: 7618381526 Enrollment ID: I20210203002049 |
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