# EMPIRE NY MEDICAL CARE PLLC

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

## Provider details

- **NPI number:** 1750690806
- **Authorized official:** WEYMIN GUILLERMO HAGO M.D. (PRESIDENT)
- **Authorized official phone:** (646) 688-3145

## Contact information

- **Practice address:** 928 BROADWAY, SUITE 304, NEW YORK, NY 10010-6008
- **Practice address phone:** (646) 688-3145
- **Mailing address:** 3731 73RD ST, APT 6F, JACKSON HEIGHTS, NY 11372-6250
- **Mailing address phone:** (917) 488-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 258181 | NY | Yes |

## Other

- **Enumeration date:** 10/06/2010
- **Last updated:** 10/06/2010