Organization
STARLITE MEDICAL SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN LIU MD (OWNER)
(601) 473-5612
Entity
Organization
Contact information
Practice address
1010 ADAMS AVE, FRANKLIN SQUARE, NY 11010-2248
(601) 473-5612
Mailing address
PO BOX 86, JERICHO, NY 11753-0086
(516) 697-6813
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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