Organization
J&J STAR MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM LI (MANAGER)
(917) 292-2292
Entity
Organization
Contact information
Practice address
9320 70TH AVE, FOREST HILLS, NY 11375-5828
(917) 292-2292
Mailing address
7204 JUNO ST, FOREST HILLS, NY 11375-5930
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
224860
NY
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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