Organization
EMPIRE NY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEYMIN GUILLERMO HAGO M.D. (PRESIDENT)
(646) 688-3145
Entity
Organization
Contact information
Practice address
928 BROADWAY, SUITE 304, NEW YORK, NY 10010-6008
(646) 688-3145
Mailing address
3731 73RD ST, APT 6F, JACKSON HEIGHTS, NY 11372-6250
(917) 488-4670
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
258181
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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