Organization
J & J MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SHIXIE LIU MD (PRESIDENT)
(718) 359-5603
Entity
Organization
Contact information
Practice address
14351 ROOSEVELT AVE, SUITE 1B, FLUSHING, NY 11354-6106
(718) 359-5603
(718) 359-5610
Mailing address
7523 195TH ST, FRESH MEADOWS, NY 11366-1841
(718) 359-5603
(718) 359-5610
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
216399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02198658
—
NY
Enumeration date
10/23/2006
Last updated
07/10/2008
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