Organization
EAST PANACEA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUNXIAN MA (OWNER)
(718) 428-2860
Entity
Organization
Contact information
Practice address
3918 211TH ST, 2ND FL, BAYSIDE, NY 11361-1958
(718) 428-2860
Mailing address
3918 211TH ST, 2ND FL, BAYSIDE, NY 11361-1958
(718) 428-2860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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