# ENERGETIC MEDICAL, PC

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

## Provider details

- **NPI number:** 1932624749
- **Authorized official:** MRS. LIHUA MO MD (PRESIDENT)
- **Authorized official phone:** (718) 888-7122

## Contact information

- **Practice address:** 4233 KISSENA BLVD STE 1A, FLUSHING, NY 11355-3238
- **Practice address phone:** (718) 888-7122
- **Mailing address:** 15114 22ND AVE, WHITESTONE, NY 11357-3719
- **Mailing address phone:** (646) 644-8889
- **Mailing address fax:** (718) 888-7172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 212598 | NY | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 08/14/2017