Organization
IVYMC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEI WEI NIU M.D. (PRESIDENT)
(201) 970-1337
Entity
Organization
Contact information
Practice address
14022 BEECH AVE, FLUSHING, NY 11355-2821
(201) 970-1337
Mailing address
91 FRANKLIN ST, TENAFLY, NJ 07670-2006
(201) 970-1337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
230713
NY
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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