ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC; NPI #1972749984

Contact Information

ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC

13259 41ST RD
FLUSHING, NY 11355-4257

Phone: 718-358-3535
Fax: 718-358-2072
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC

NPI Number 1972749984

LBN Legal business name ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC

Authorized official JACKSON KUAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/22/2008

Last updated 12/22/2008 - About 17 years ago

Identifiers

NY	License #	173042
NY	Medicaid	01132241

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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