33D1028182 CLIA NUMBER - YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC

Laboratory Demographics

CLIA Number: 33D1028182

Facility Name: YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC

Facility Address:
34-38 BELL BOULEVARD, PH 5TH FLOOR
BAYSIDE, NY
ZIP 11361
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Facility Phone Number: 718 360-5768

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770580235

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D1028182
LAB Type	Physician Office
Facility Name	YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC
Street	34-38 BELL BOULEVARD, PH 5TH FLOOR
City	BAYSIDE
State	NY
ZIP	11361
Phone	718 360-5768
CertificateType	4
CertificateEffectiveDate	7/21/2022
CertificateExpirationDate	7/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024