Organization
ELMHURST 88 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIANG ZHONG (MANAGER)
(347) 808-8769
Entity
Organization
Contact information
Practice address
8308 BROADWAY, ELMHURST, NY 11373-5734
(347) 808-8769
(347) 808-8769
Mailing address
8308 BROADWAY, ELMHURST, NY 11373-5734
(347) 808-8769
(347) 808-8769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
01/27/2023
Last updated
01/27/2023
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