Empire Ny Medical Care PLLC
Clinic/Center, Medical Specialty in New York, NY. Organization (NPI-2).
NPI number1750690806
StatusActive
Last updated in NPPESOct 6, 2010
Details
- NPI
- 1750690806
- Entity type
- Organization (NPI-2)
- Legal business name
- Empire Ny Medical Care PLLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2010
- Last updated
- Oct 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 258181 | NY | Yes |
Practice location
928 BroadwaySuite 304
New York, NY 10010-6008
Phone 646-688-3145
Mailing address
3731 73rd StApt 6f
Jackson Heights, NY 11372-6250
Phone 917-488-4670
Authorized official
Weymin Guillermo Hago
President
6466883145
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