| Du Tao Internal Medicine PLLC | |
|
13625 Maple Ave Ste 210 Flushing NY 11355-3892 | |
| (203) 391-4853 | |
| Not Available |
| Full Name | Du Tao Internal Medicine PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 13625 Maple Ave Ste 210, Flushing, New York |
| Authorized Official Name and Position | Tao Du (OWNER) |
| Authorized Official Contact | 2033914853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Du Tao Internal Medicine PLLC 4 Dandy Dr Cos Cob CT 06807-2203 Ph: (203) 391-4853 | Du Tao Internal Medicine PLLC 13625 Maple Ave Ste 210 Flushing NY 11355-3892 Ph: (203) 391-4853 |
| NPI Number | 1558255083 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/07/2025 |
| Medicare PECOS PAC ID | 2567974645 |
|---|---|
| Medicare Enrollment ID | O20250624003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558255083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Tao Du |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376704916 PECOS PAC ID: 2365600822 Enrollment ID: I20171010003332 |
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