Organization
SOPHIA 600 MEDI GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP HANA KANG (PROGRAM DIRECTOR)
(917) 285-2574
Entity
Organization
Contact information
Practice address
14617 NORTHERN BLVD # 1F, FLUSHING, NY 11354-3693
(917) 285-2574
(917) 285-2591
Mailing address
14617 NORTHERN BLVD # 1F, FLUSHING, NY 11354-3693
(917) 285-2574
(917) 285-2591
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
06/17/2024
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