Wisdom Medical P.C.

LBN: Wisdom Medical P.C.
Wisdom Medical P.C. is an health care organization with primary practice located at 13625 Maple Ave Suite201, Flushing NY 11355-3870. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Wisdom Medical P.C. can be contacted via phone (718) 939-2669, or through Liu, Lisen via phone (718) 939-2669.

Contact Information

Primary practice address
13625 Maple Ave Suite201 Flushing NY 11355-3870
Phone: (718) 939-2669
Fax: (718) 939-2663
Website:
Map and Directions
Authorized official contact:
Name: Liu, Lisen Doctor of Medicine (MD)
Phone: (718) 939-2669

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 239854 New York

Profile Details

NPI number 1871612044
LBN Legal business name Wisdom Medical P.C.
DBA Doing business as
Authorized official Liu, Lisen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871612044 NPPES
New York MEDICAID 02818487

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