Mjm Medicine Pllc | |
7025 Yellowstone Blvd 21 J Forest Hills NY 11375-3164 | |
(718) 520-1758 | |
(718) 520-1758 |
Full Name | Mjm Medicine Pllc |
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Speciality | Internal Medicine |
Location | 7025 Yellowstone Blvd, Forest Hills, New York |
Authorized Official Name and Position | Michael Liu (PRESIDENT) |
Authorized Official Contact | 7185201758 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mjm Medicine Pllc Po Box 750763 Forest Hills NY 11375-0763 Ph: (718) 520-1758 | Mjm Medicine Pllc 7025 Yellowstone Blvd 21 J Forest Hills NY 11375-3164 Ph: (718) 520-1758 |
NPI Number | 1497988323 |
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Provider Enumeration Date | 08/26/2009 |
Last Update Date | 08/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497988323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A245544 (New York) | Primary |
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