| Long Coast Medical Pllc | |
|
8808 55th Ave Elmhurst NY 11373-4437 | |
| (718) 813-6391 | |
| Not Available |
| Full Name | Long Coast Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8808 55th Ave, Elmhurst, New York |
| Authorized Official Name and Position | Wan Tu (MANAGING MEMBER) |
| Authorized Official Contact | 7188136391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Coast Medical Pllc 10 Sherry Hill Ln Manhasset NY 11030-3221 Ph: (718) 813-6391 | Long Coast Medical Pllc 8808 55th Ave Elmhurst NY 11373-4437 Ph: (718) 813-6391 |
| NPI Number | 1861213373 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861213373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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