Organization
YONGMING MAO PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONGMING MAO (PRESIDENT)
(718) 690-8682
Entity
Organization
Contact information
Practice address
1675 W 1ST ST, SUITE 2, BROOKLYN, NY 11223-1744
(718) 690-8682
Mailing address
1675 W 1ST ST, SUITE 2, BROOKLYN, NY 11223-1744
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
233817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02758881
—
NY
Enumeration date
03/12/2007
Last updated
08/22/2020
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