Organization
CLEAR LAKE MEDICAL PC
Active
Organization
CLEAR LAKE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHE LIU MD (OWNER)
(646) 409-2508
Entity
Organization
Contact information
Practice address
93 NEW DORP LN, STATEN ISLAND, NY 10306-2324
(718) 435-1025
(718) 435-2670
Mailing address
93 NEW DORP LN, STATEN ISLAND, NY 10306-2324
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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