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Great Neck Rheumatology PLLC

Internal Medicine, Rheumatology in Great Neck, NY. Organization (NPI-2).

NPI number1255264131
StatusActive
Last updated in NPPESJun 8, 2026

Details

NPI
1255264131
Entity type
Organization (NPI-2)
Legal business name
Great Neck Rheumatology PLLC
Organization subpart
No
Enumeration date
Jun 8, 2026
Certification date
Jun 8, 2026
Last updated
Jun 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology––Yes

Practice location

1000 Northern Blvd Ste 260
Great Neck, NY 11021-5341

Phone 516-928-6512

Mailing address

1000 Northern Blvd Ste 260
Great Neck, NY 11021-5341

Authorized official

Shu Cao
Managing Member
5169286512

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