| Ae & Ly Medical Associates Pllc | |
|
13633 37th Ave Fl 7 Flushing NY 11354-4561 | |
| (718) 321-3262 | |
| (718) 321-3263 |
| Full Name | Ae & Ly Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13633 37th Ave Fl 7, Flushing, New York |
| Authorized Official Name and Position | Sally Chu (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 7183213262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ae & Ly Medical Associates Pllc 13633 37th Ave Fl 7 Flushing NY 11354-4561 Ph: (718) 321-3262 | Ae & Ly Medical Associates Pllc 13633 37th Ave Fl 7 Flushing NY 11354-4561 Ph: (718) 321-3262 |
| NPI Number | 1912060229 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/17/2017 |
| Medicare PECOS PAC ID | 7810999539 |
|---|---|
| Medicare Enrollment ID | O20070710000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060229 | NPI | - | NPPES |
| 02163642 | Medicaid | NY | |
| 07932 | Other | NY | GHI MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 204609 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 204609 (New York) | Primary |
| Provider Name | Howard J Prusack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598744161 PECOS PAC ID: 7416842372 Enrollment ID: I20040219000010 |
| Provider Name | Alan C Yao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053325647 PECOS PAC ID: 6204821226 Enrollment ID: I20040419001113 |
| Provider Name | Khondeker M Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306880547 PECOS PAC ID: 6406846633 Enrollment ID: I20040518000505 |
| Provider Name | Raymond A Diaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346250024 PECOS PAC ID: 6002903408 Enrollment ID: I20100330001144 |
| Provider Name | Nyi Nyi Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114344017 PECOS PAC ID: 2062716996 Enrollment ID: I20160212000806 |
| Provider Name | Yu Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558702480 PECOS PAC ID: 3678851441 Enrollment ID: I20161028001774 |
| Provider Name | Susan Ching |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134616857 PECOS PAC ID: 7113262312 Enrollment ID: I20221020002747 |
| Provider Name | He Qiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538691365 PECOS PAC ID: 0143565507 Enrollment ID: I20230614000370 |
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