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
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