Provision at New York LLC
Provision at New York LLC is a Clinic/Center in Rego Park, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6135 Junction BlvdRego Park, NY 11374-2771
Phone: (718) 760-7862
Fax: (718) 760-7861
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
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence TUV006676 (NY) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence TUV006676 (NY) |
Record details
| NPI number | 1467749630 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emily Chu — Ceo · (718) 780-7862 |
| NPI enumerated | July 7, 2011 |
| Last updated in NPPES | July 31, 2012 |
| Mailing address | 7285 Yellowstone Blvd, Forest Hills, NY 11375-4133 |
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