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Organization
PRIMACARE FAMILY MEDICINE PLLC
Active
Organization
PRIMACARE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIWEN ZHU (DIRECTOR)
(718) 898-2010
Entity
Organization
Contact information
Practice address
84-25 ELMHURST AVE. UNIT P2, ELMHURST, NY 11373
(718) 898-2010
Mailing address
23935 65TH AVE, DOUGLASTON, NY 11362-1918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259779
NY
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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