| Thomas Lyo Medical Pc | |
|
13987 35th Ave Apt L1 Flushing NY 11354-3551 | |
| (718) 358-7788 | |
| (718) 502-8436 |
| Full Name | Thomas Lyo Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13987 35th Ave Apt L1, Flushing, New York |
| Authorized Official Name and Position | Thomas Z Lyo (PRESIDENT) |
| Authorized Official Contact | 7183587788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lyo Medical Pc 13987 35th Ave Apt L1 Flushing NY 11354-3551 Ph: (718) 358-7788 | Thomas Lyo Medical Pc 13987 35th Ave Apt L1 Flushing NY 11354-3551 Ph: (718) 358-7788 |
| NPI Number | 1265471684 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 3870558059 |
|---|---|
| Medicare Enrollment ID | O20041130000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265471684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Thomas Z Lyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275595787 PECOS PAC ID: 3971566357 Enrollment ID: I20041106000035 |
| Provider Name | Rosie Y Lyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189194 PECOS PAC ID: 3779501283 Enrollment ID: I20051103000351 |
| Provider Name | Lily Fong Cho Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790777894 PECOS PAC ID: 9830292101 Enrollment ID: I20070307000597 |
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