Organization
FOREVER MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIU NIU M.D. (PHYSIATRIST)
(718) 353-9088
Entity
Organization
Contact information
Practice address
14031 CHERRY AVE APT 1A, FLUSHING, NY 11355-3168
(718) 353-9088
(718) 353-9087
Mailing address
14031 CHERRY AVE APT 1A, FLUSHING, NY 11355-3168
(718) 353-9088
(718) 353-9087
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
250671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03036766
—
NY
Enumeration date
01/10/2013
Last updated
01/14/2013
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