Organization
GU & GAO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONGPENG GU (OWNER)
(917) 563-1697
Entity
Organization
Contact information
Practice address
13668 ROOSEVELT AVE STE 4C, FLUSHING, NY 11354-5510
(917) 563-1697
(917) 563-1804
Mailing address
83 SOMERSET DR S, GREAT NECK, NY 11020-1821
(917) 563-1697
(917) 563-1804
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
270433
NY
Other
Enumeration date
02/16/2016
Last updated
08/30/2021
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