| L&l Medicalcare Pc | |
|
5115 7th Ave Fl 1 Brooklyn NY 11220-2806 | |
| (718) 851-8928 | |
| (718) 851-0618 |
| Full Name | L&l Medicalcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5115 7th Ave Fl 1, Brooklyn, New York |
| Authorized Official Name and Position | Yiding Li (PRESIDENT) |
| Authorized Official Contact | 7188518928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L&l Medicalcare Pc 5115 7th Ave Fl 1 Brooklyn NY 11220-2806 Ph: (718) 851-8928 | L&l Medicalcare Pc 5115 7th Ave Fl 1 Brooklyn NY 11220-2806 Ph: (718) 851-8928 |
| NPI Number | 1093209280 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 6608123039 |
|---|---|
| Medicare Enrollment ID | O20180717001982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093209280 | NPI | - | NPPES |
| 03099254 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 246551 (New York) | Primary |
| Provider Name | Yiding Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295939494 PECOS PAC ID: 2668565730 Enrollment ID: I20090325000359 |
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