Jun Np In Adult Health P.c. | |
3636 Main St Rm 2sd Flushing NY 11354-6549 | |
(718) 353-8424 | |
Not Available |
Full Name | Jun Np In Adult Health P.c. |
---|---|
Speciality | Nurse Practitioner |
Location | 3636 Main St Rm 2sd, Flushing, New York |
Authorized Official Name and Position | Jun Lu (PRESIDENT) |
Authorized Official Contact | 7183538424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jun Np In Adult Health P.c. 3636 Main St Rm 2sd Flushing NY 11354-6549 Ph: (718) 353-8424 | Jun Np In Adult Health P.c. 3636 Main St Rm 2sd Flushing NY 11354-6549 Ph: (718) 353-8424 |
NPI Number | 1750853636 |
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Provider Enumeration Date | 12/17/2018 |
Last Update Date | 12/17/2018 |
Medicare PECOS PAC ID | 2163762220 |
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Medicare Enrollment ID | O20190327002560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750853636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
Provider Name | Jun Lu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306126107 PECOS PAC ID: 1557634383 Enrollment ID: I20170830001319 |
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