MEDICARE: MS. MIN CAI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	233511	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07794	OTHER	NY	MEDICARE GROUP NUMBER
3	07794G	OTHER	NY	MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003813676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIN CAI M.D.

Provider Business Mailing Address
First Line	:	4105 COLLEGE POINT BLVD
Second Line	:	SUITE 1C
City	:	FLUSHING
State	:	NY
Zip	:	11355-4200
Country	:	US
Telephone Number	:	718-321-0558
Fax Number	:	718-321-1672

Provider Business Practice Location Address
First Line	:	4105 COLLEGE POINT BLVD
Second Line	:	SUITE 1C
City	:	FLUSHING
State	:	NY
Zip	:	11355-4200
Country	:	US
Telephone Number	:	718-321-0558
Fax Number	:	718-321-1672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	12/02/2016

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