Stanford Medical P.C.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

130031 Issued in NY

Legal business name

STANFORD MEDICAL P.C.

Practice address

13618 39TH Ave # 905
Flushing, NY 11354-5400

Phone

(718) 961-8823

NPI assigned

Feb 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elaine Liu

Title

Manager

Phone

(718) 961-8823

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1245504190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE # 905",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE # 905",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545400",
            "telephone_number": "718-961-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-961-8823"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "130031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Staiano, PH.D.
• Sophia Staley
• Deemah Stalhamer, D.O.
• Stan Acupuncture PC
• Stand-Up MRI of Queens, P.C.
• Stanley-Sangwook Kim D.O. PC
• Star Vision Optical Inc
• Stargaze Eye Care Optometry P.C.
• Stars Dental P.C.
• Stat Medical Services of Ny PLLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Flushing, NY
• Providers in Flushing, NY by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.