Organization
AE & LY MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CHU (MEDICAL BILLING SPECIALIST)
(718) 321-3262
Entity
Organization
Contact information
Practice address
13633 37TH AVE FL 7, FLUSHING, NY 11354-4561
(718) 321-3262
(718) 321-3263
Mailing address
13633 37TH AVE FL 7, FLUSHING, NY 11354-4561
(718) 321-3262
(718) 321-3263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204609
NY
207RG0100X
Gastroenterology Physician
Primary
204609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02163642
—
NY
01
—
07932
GHI MEDICARE GROUP NUMBER
NY
Enumeration date
12/18/2006
Last updated
03/17/2017
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