| Lifecare Medical, Pllc | |
|
13324 Sanford Ave Apt 1k Flushing NY 11355-3618 | |
| (718) 353-0555 | |
| (718) 353-0566 |
| Full Name | Lifecare Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13324 Sanford Ave Apt 1k, Flushing, New York |
| Authorized Official Name and Position | Ya Li Lin (PRESIDENT) |
| Authorized Official Contact | 7183530555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Medical, Pllc 13324 Sanford Ave Apt 1k Flushing NY 11355-3618 Ph: (718) 353-0555 | Lifecare Medical, Pllc 13324 Sanford Ave Apt 1k Flushing NY 11355-3618 Ph: (718) 353-0555 |
| NPI Number | 1205253903 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 04/21/2014 |
| Medicare PECOS PAC ID | 7618191354 |
|---|---|
| Medicare Enrollment ID | O20140619000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205253903 | NPI | - | NPPES |
| 03573159 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 252343 (New York) | Primary |
| Provider Name | Ya Li Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053518548 PECOS PAC ID: 2163584087 Enrollment ID: I20140619000155 |
| Provider Name | Sabai Phyu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407105158 PECOS PAC ID: 6901021963 Enrollment ID: I20140707001158 |
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