Organization
MIRAE MEDICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CHO MD (PRESIDENT)
(929) 329-9864
Entity
Organization
Contact information
Practice address
15011 NORTHERN BLVD FL 1, FLUSHING, NY 11354-3836
(718) 460-9640
(718) 460-1451
Mailing address
15011 NORTHERN BLVD FL 1, FLUSHING, NY 11354-3836
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
02/18/2025
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