Organization
ICARE U MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIYUN SHAO M.D. (M.D.)
(917) 940-8711
Entity
Organization
Contact information
Practice address
3907 PRINCE ST, FLUSHING, NY 11354-5357
(718) 888-1202
(718) 886-1226
Mailing address
15 JEAN PL, SYOSSET, NY 11791-5914
(917) 940-8711
(516) 299-9534
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
245201
NY
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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