| Ivymc,inc | |
|
14022 Beech Ave Flushing NY 11355-2821 | |
| (201) 970-1337 | |
| Not Available |
| Full Name | Ivymc,inc |
|---|---|
| Speciality | General Practice |
| Location | 14022 Beech Ave, Flushing, New York |
| Authorized Official Name and Position | Wei Wei Niu (PRESIDENT) |
| Authorized Official Contact | 2019701337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivymc,inc 91 Franklin St Tenafly NJ 07670-2006 Ph: (201) 970-1337 | Ivymc,inc 14022 Beech Ave Flushing NY 11355-2821 Ph: (201) 970-1337 |
| NPI Number | 1598013955 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598013955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 230713 (New York) | Primary |
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