Living-at-home Medical, Pc | |
6818 Madeline Ct Brooklyn NY 11220-5807 | |
(347) 256-4213 | |
(347) 517-4523 |
Full Name | Living-at-home Medical, Pc |
---|---|
Speciality | Internal Medicine |
Location | 6818 Madeline Ct, Brooklyn, New York |
Authorized Official Name and Position | Maria Bun-ching Lee (DIRECTOR) |
Authorized Official Contact | 3472564213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Living-at-home Medical, Pc 7105 3rd Ave Ste 523 Brooklyn NY 11209-1308 Ph: (347) 256-4213 | Living-at-home Medical, Pc 6818 Madeline Ct Brooklyn NY 11220-5807 Ph: (347) 256-4213 |
NPI Number | 1760816698 |
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Provider Enumeration Date | 08/28/2013 |
Last Update Date | 08/28/2013 |
Medicare PECOS PAC ID | 0244466217 |
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Medicare Enrollment ID | O20131121000765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760816698 | NPI | - | NPPES |
02611392 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 205873 (New York) | Primary |
Provider Name | Maria B Lee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578586467 PECOS PAC ID: 3779654108 Enrollment ID: I20080612000515 |
Provider Name | Stephen Wing Kin Yip |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588185029 PECOS PAC ID: 4688940919 Enrollment ID: I20171031003373 |
Provider Name | Weiyi Pan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639606544 PECOS PAC ID: 4587938196 Enrollment ID: I20171107001520 |
Provider Name | Yin Kong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295334100 PECOS PAC ID: 4082021449 Enrollment ID: I20210331001092 |
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