Organization
L&M 628, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIAFENG LIU (PRESIDENT)
(631) 891-8741
Entity
Organization
Contact information
Practice address
118 BAXTER ST, NEW YORK, NY 10013-3674
(631) 891-8741
Mailing address
118 BAXTER ST, NEW YORK, NY 10013-3674
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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