| J&j Star Medical Pllc | |
|
9320 70th Ave Forest Hills NY 11375-5828 | |
| (917) 292-2292 | |
| Not Available |
| Full Name | J&j Star Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9320 70th Ave, Forest Hills, New York |
| Authorized Official Name and Position | Jim Li (MANAGER) |
| Authorized Official Contact | 9172922292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J&j Star Medical Pllc 7204 Juno St Forest Hills NY 11375-5930 Ph: () - | J&j Star Medical Pllc 9320 70th Ave Forest Hills NY 11375-5828 Ph: (917) 292-2292 |
| NPI Number | 1588943047 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/15/2011 |
| Medicare PECOS PAC ID | 2163696782 |
|---|---|
| Medicare Enrollment ID | O20111117000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588943047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 224860 (New York) | Primary |
| Provider Name | Jim Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053394106 PECOS PAC ID: 8921049065 Enrollment ID: I20050518001012 |
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