| Liwen Huang Medical Pc | |
|
8409 Queens Blvd # 1a Elmhurst NY 11373-4246 | |
| (347) 316-8838 | |
| (347) 708-1693 |
| Full Name | Liwen Huang Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8409 Queens Blvd # 1a, Elmhurst, New York |
| Authorized Official Name and Position | Liwen Huang (PRESIDENT) |
| Authorized Official Contact | 3473168838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liwen Huang Medical Pc 8409 Queens Blvd # 1a Elmhurst NY 11373-4246 Ph: (347) 316-8838 | Liwen Huang Medical Pc 8409 Queens Blvd # 1a Elmhurst NY 11373-4246 Ph: (347) 316-8838 |
| NPI Number | 1003449323 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/14/2020 |
| Medicare PECOS PAC ID | 5597193987 |
|---|---|
| Medicare Enrollment ID | O20200318001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449323 | NPI | - | NPPES |
| 03823970 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Liwen Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992035257 PECOS PAC ID: 8628299435 Enrollment ID: I20141021000103 |
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