Organization
BE EVERGREEN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA ZHU (MANAGER)
(718) 886-8180
Entity
Organization
Contact information
Practice address
13329 41ST RD STE 1A, FLUSHING, NY 11355-3671
(718) 886-8180
Mailing address
13329 41ST RD STE 1A, FLUSHING, NY 11355-3671
(718) 886-8180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198832
NY
Other
Enumeration date
09/11/2014
Last updated
01/05/2015
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