| Mmj Ny Consulting LLC | |
|
13630 Maple Ave Ste 2b Flushing NY 11355-3867 | |
| (718) 799-0958 | |
| (718) 799-0959 |
| Full Name | Mmj Ny Consulting LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13630 Maple Ave Ste 2b, Flushing, New York |
| Authorized Official Name and Position | Linke Ma (PHYSICIAN) |
| Authorized Official Contact | 3474172563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmj Ny Consulting LLC 13630 Maple Ave Ste 2b Flushing NY 11355-3867 Ph: (718) 799-0958 | Mmj Ny Consulting LLC 13630 Maple Ave Ste 2b Flushing NY 11355-3867 Ph: (718) 799-0958 |
| NPI Number | 1184331308 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184331308 | NPI | - | NPPES |
| 1932553427 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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