Provision at New York LLC

NPI #1467749630 in Rego Park, New York

Provider Information

NPI Number
1467749630
Entity Type
Organization
Organization Name
Provision at New York LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 7, 2011
Last Updated
Jul 31, 2012

Practice Location

Address
6135 JUNCTION BLVD
ZIP Code
11374-2771
Phone
(718) 760-7862

Authorized Official

Name
DR. EMILY Y CHU, OD
Title
CEO
Phone
(718) 780-7862

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Clinic/Center

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