# FOREVER MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417294406
- **Authorized official:** DR. NIU NIU M.D. (PHYSIATRIST)
- **Authorized official phone:** (718) 353-9088

## Contact information

- **Practice address:** 14031 CHERRY AVE APT 1A, FLUSHING, NY 11355-3168
- **Practice address phone:** (718) 353-9088
- **Practice address fax:** (718) 353-9087
- **Mailing address:** 14031 CHERRY AVE APT 1A, FLUSHING, NY 11355-3168
- **Mailing address phone:** (718) 353-9088
- **Mailing address fax:** (718) 353-9087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 250671 | NY | Yes |

## Other

- **Enumeration date:** 01/10/2013
- **Last updated:** 01/14/2013