Organization
EVERGREEN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAY LIN (OFFICE MANAGER)
(718) 680-8881
Entity
Organization
Contact information
Practice address
755-759 61ST STREET, BROOKLYN, NY 11220-4211
(718) 680-8881
(718) 680-7880
Mailing address
755-759 61ST STREET, BROOKLYN, NY 11220-4211
(718) 680-8881
(718) 680-7880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02440279
—
NY
05
—
02681267
—
NY
05
—
03032428
—
NY
05
—
03036766
—
NY
Enumeration date
03/30/2009
Last updated
06/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us