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BASICARE MEDICAL PC NPI 1689053126


NPI Information

NPI: 1689053126
Provider Name: BASICARE MEDICAL PC
Classification: Internal Medicine - 207RA0201X
Entity Type: Organization

Specialization: Allergy & Immunology

CLIA Number: 33D2164670

Address:
13631 ROOSEVELT AVE
SUITE 12
FLUSHING, NY
ZIP 11354
Phone: (718) 335-3586
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BASICARE MEDICAL PC is an allergy and immunology internal medicine in Flushing, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. BASICARE MEDICAL PC NPI is 1689053126. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13631 ROOSEVELT AVE
SUITE 12
FLUSHING, NY
ZIP 11354-509
Phone: (718) 335-3586
Fax: (718) 886-3272

The provider's authorized official is Yiqun Hui .
The authorized official title is M.d./partner and has the following contact phone number (718) 335-3586.

The CLIA number assigned to this NPI record is 33D2164670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy261914-1NEW YORKNo
2207RA0201XInternal MedicineAllergy & Immunology261914-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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