Organization
MMJ NY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINKE MA DO (PHYSICIAN)
(347) 417-2563
Entity
Organization
Contact information
Practice address
13630 MAPLE AVE STE 2B, FLUSHING, NY 11355-3867
(718) 799-0958
(718) 799-0959
Mailing address
13630 MAPLE AVE STE 2B, FLUSHING, NY 11355-3867
(718) 799-0958
(718) 799-0959
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932553427
—
NY
Enumeration date
10/28/2022
Last updated
10/28/2022
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