# DALTON MEDICAL SERVICES, PLLC

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

## Provider details

- **NPI number:** 1568771525
- **Authorized official:** MICHAEL LI MD PH.D (OWNER)
- **Authorized official phone:** (718) 888-9829

## Contact information

- **Practice address:** 13620 38TH AVE, SUITE 6F, FLUSHING, NY 11354-4233
- **Practice address phone:** (718) 888-9829
- **Practice address fax:** (718) 888-9796
- **Mailing address:** 136-20 38 AVE, SUITE 6F, FLUSHING, NY 11354
- **Mailing address phone:** (718) 888-9829
- **Mailing address fax:** (718) 888-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 214851-1 | NY | Yes |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 09/24/2010
