| Medexplus Medical Pc | |
|
14147 Northern Blvd # 3r 3fl Flushing NY 11354-4238 | |
| (718) 886-6677 | |
| (718) 886-6670 |
| Full Name | Medexplus Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14147 Northern Blvd # 3r, Flushing, New York |
| Authorized Official Name and Position | Yuqing Zhang (PRESIDENT) |
| Authorized Official Contact | 3478279251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medexplus Medical Pc 141-47 Northern Blvd 3r 3fl Flushing NY 11354 Ph: (718) 886-6677 | Medexplus Medical Pc 14147 Northern Blvd # 3r 3fl Flushing NY 11354-4238 Ph: (718) 886-6677 |
| NPI Number | 1316373004 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Medicare PECOS PAC ID | 1254559610 |
|---|---|
| Medicare Enrollment ID | O20140826002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316373004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 260295 (New York) | Primary |
| Provider Name | Yuqing Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536233 PECOS PAC ID: 2163691668 Enrollment ID: I20110817000325 |
| Provider Name | Lin Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700187515 PECOS PAC ID: 1456504554 Enrollment ID: I20131219000006 |
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