Organization
DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Active
Organization
DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENGJIE MO (FAMILY PHYSICIAN)
(917) 881-0690
Entity
Organization
Contact information
Practice address
14210 ROOSEVELT AVE STE P10, FLUSHING, NY 11354-6000
(929) 362-2082
(929) 362-2083
Mailing address
15751 19TH AVE, WHITESTONE, NY 11357-3820
(917) 881-0690
(929) 362-2083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02265465
—
NY
Enumeration date
04/05/2022
Last updated
06/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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