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Organization
STANFORD MEDICAL P.C.
Active
Organization
STANFORD MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE LIU (MANAGER)
(718) 961-8823
Entity
Organization
Contact information
Practice address
13618 39TH AVE # 905, FLUSHING, NY 11354-5400
(718) 961-8823
Mailing address
13618 39TH AVE # 905, FLUSHING, NY 11354-5400
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
130031
NY
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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