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Organization

DALTON MEDICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LI MD PH.D (OWNER)
(718) 888-9829
Entity
Organization

Contact information

Practice address
13620 38TH AVE, SUITE 6F, FLUSHING, NY 11354-4233
(718) 888-9829
(718) 888-9796
Mailing address
136-20 38 AVE, SUITE 6F, FLUSHING, NY 11354
(718) 888-9829
(718) 888-9796

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
214851-1
NY

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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