Organization
LONGEVOUS MEDICAL HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUORONG DAI (OWNER)
(646) 750-2090
Entity
Organization
Contact information
Practice address
825 57TH ST, SUITE 208 2ND REAR, BROOKLYN, NY 11220-3648
(646) 750-2090
Mailing address
4028 COLLEGE POINT BLVD, PH110, FLUSHING, NY 11354-5105
(646) 750-2090
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/17/2009
Last updated
05/29/2015
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