MEDICARE: AK CARE INC.

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1093289365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AK CARE INC.

Provider Business Mailing Address
First Line	:	8261 166TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1820
Country	:	US
Telephone Number	:	917-299-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	10714 71ST RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4719
Country	:	US
Telephone Number	:	718-755-2999
Fax Number	:	888-317-4741

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KEPING DU
Credential	:
Telephone Number	:	917-299-4786

Provider Enumeration Date	:	01/19/2019
Last Update Date	:	01/19/2019

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