Excellent Care Medical Ny P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

243073 Issued in NY

Legal business name

EXCELLENT CARE MEDICAL NY P.C.

Practice address

5804 80TH St
Middle Village, NY 11379-5318

Phone

(646) 577-6654

Fax

(347) 374-6315

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Yong CHI, M.D.

Title

President

Phone

(646) 577-6654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1346470523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ASPEN RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543401",
            "telephone_number": "646-577-6654",
            "fax_number": "347-374-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 80TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795318",
            "telephone_number": "646-577-6654",
            "fax_number": "347-374-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CARE MEDICAL NY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-577-6654",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "243073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Middle Village, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.