Organization
INTEGRATIVE INTERNAL MEDICINE & GERIATRIC PRACTICE, PLLC
Active
Other names
Adult & Senior Health
Organization subpart
No
Provider details
NPI number
Authorized official
ZHENG-BO HAUNG M.D. (OWNER)
(718) 888-1722
Entity
Organization
Contact information
Practice address
14218 38TH AVE, # 1C, FLUSHING, NY 11354-5550
(718) 888-1722
(718) 888-1793
Mailing address
14218 38TH AVE, # 1C, FLUSHING, NY 11354-5550
(718) 888-1722
(718) 888-1793
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05790A
MEDICARE PTAN
NY
Enumeration date
07/12/2006
Last updated
02/20/2013
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