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Organization
POLARIS CARE MEDICAL PC
Active
Organization
POLARIS CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHE LIU MD (PRESIDENT)
(646) 409-2508
Entity
Organization
Contact information
Practice address
824 55TH ST STE 1, BROOKLYN, NY 11220-3245
(718) 435-1025
Mailing address
79 FLAGG CT, STATEN ISLAND, NY 10304-1157
(646) 409-2508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309005
MEDICINE AND SURGERY LICENSE
NY
Enumeration date
05/22/2022
Last updated
12/02/2023
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