| Spring Life Medical Services, P.c. | |
|
9617 69th Ave Forest Hills NY 11375-5139 | |
| (347) 589-3714 | |
| (347) 233-2584 |
| Full Name | Spring Life Medical Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9617 69th Ave, Forest Hills, New York |
| Authorized Official Name and Position | Hla Tun (PRESIDENT) |
| Authorized Official Contact | 3475893714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Life Medical Services, P.c. Po Box 640326 Oakland Gardens NY 11364-0326 Ph: () - | Spring Life Medical Services, P.c. 9617 69th Ave Forest Hills NY 11375-5139 Ph: (347) 589-3714 |
| NPI Number | 1376835082 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Medicare PECOS PAC ID | 8921284407 |
|---|---|
| Medicare Enrollment ID | O20110518000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376835082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 218153 (New York) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 218153 (New York) | Secondary |
| Provider Name | Hla Tun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982624334 PECOS PAC ID: 4880586361 Enrollment ID: I20040329000787 |
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