# GU & GAO MEDICAL PLLC

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

## Provider details

- **NPI number:** 1689033821
- **Authorized official:** YONGPENG GU (OWNER)
- **Authorized official phone:** (917) 563-1697

## Contact information

- **Practice address:** 13668 ROOSEVELT AVE STE 4C, FLUSHING, NY 11354-5510
- **Practice address phone:** (917) 563-1697
- **Practice address fax:** (917) 563-1804
- **Mailing address:** 83 SOMERSET DR S, GREAT NECK, NY 11020-1821
- **Mailing address phone:** (917) 563-1697
- **Mailing address fax:** (917) 563-1804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 270433 | NY | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 08/30/2021