Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innocare Medical PC

Organization Internal Medicine Physician · NPI 1871054320

Innocare Medical PC is an Internal Medicine Physician in Flushing, New York. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4160 Main St Ste 203
Flushing, NY 11355-3899
Phone: (718) 290-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14109 28th Ave Apt 2b, Flushing, NY 11354-1601 — (718) 213-6214

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1871054320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jin Song — Ceo · (718) 213-6214
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address14109 28th Ave Apt 2b, Flushing, NY 11354-1601

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