Legacy Medical PLLC
Legacy Medical PLLC is a Neurology Physician in Jackson Hts, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3741 77th StJackson Hts, NY 11372-6629
Phone: (718) 406-9588
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 199052-1 (NY) |
|---|
Record details
| NPI number | 1457609653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Madhu Boppana — Owner · (646) 270-1050 |
| NPI enumerated | August 17, 2012 |
| Last updated in NPPES | February 25, 2020 |
| Certification date | February 25, 2020 |
| Mailing address | 245 8th Ave # 101, New York, NY 10011-1607 |