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Ivy Medical Services PC

Specialist in Flushing, NY. Organization (NPI-2).

NPI number1982809836
StatusActive
Last updated in NPPESMar 15, 2018

Details

NPI
1982809836
Entity type
Organization (NPI-2)
Legal business name
Ivy Medical Services PC
Organization subpart
No
Enumeration date
Jun 20, 2007
Last updated
Mar 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

3808 Union St Apt 3j
Flushing, NY 11354-5500

Phone 718-321-3522 · Fax 718-321-3533

Mailing address

15 Round Hill Rd
Great Neck, NY 11020-1212

Phone 718-321-3522

Authorized official

Qiong Wu
Attending
7183213522

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