| Jw Essence Medical Pllc | |
|
13620 Maple Ave Ste C303 Flushing NY 11355-5166 | |
| (917) 348-0698 | |
| Not Available |
| Full Name | Jw Essence Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13620 Maple Ave Ste C303, Flushing, New York |
| Authorized Official Name and Position | Jiang Wang (CEO) |
| Authorized Official Contact | 7182103688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jw Essence Medical Pllc 4340 Union St Apt 1f Flushing NY 11355-7031 Ph: (917) 348-0698 | Jw Essence Medical Pllc 13620 Maple Ave Ste C303 Flushing NY 11355-5166 Ph: (917) 348-0698 |
| NPI Number | 1568121283 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 5890186597 |
|---|---|
| Medicare Enrollment ID | O20220106000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568121283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jiang Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174010425 PECOS PAC ID: 1052724614 Enrollment ID: I20220106000190 |
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