| Cao & Associates Medicine Pllc | |
|
3808 Union St Ste 6b Flushing NY 11354-5672 | |
| (618) 559-6549 | |
| Not Available |
| Full Name | Cao & Associates Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3808 Union St Ste 6b, Flushing, New York |
| Authorized Official Name and Position | Shimin Cao (OWNER) |
| Authorized Official Contact | 6185596549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cao & Associates Medicine Pllc 3024 150th Pl Flushing NY 11354-2423 Ph: (618) 559-6549 | Cao & Associates Medicine Pllc 3808 Union St Ste 6b Flushing NY 11354-5672 Ph: (618) 559-6549 |
| NPI Number | 1487121398 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 0042551939 |
|---|---|
| Medicare Enrollment ID | O20190402001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487121398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shimin Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922100213 PECOS PAC ID: 0345134789 Enrollment ID: I20190402001678 |
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