Organization
GOODLAND MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIMING YANG M.D. (PRESIDENT)
(718) 666-7511
Entity
Organization
Contact information
Practice address
6416 17TH AVE, BROOKLYN, NY 11204-2739
(347) 713-5866
(718) 228-5579
Mailing address
1531 81ST ST, BROOKLYN, NY 11228-3125
(718) 666-7511
(718) 228-5579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
249103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03063009
—
NY
Enumeration date
04/03/2010
Last updated
04/03/2010
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