MEDICARE: YANQING MA

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	271378	NY

General Provider Information

NPI Number	:	1396057253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANQING MA

Provider Business Mailing Address
First Line	:	13620 MAPLE AVE STE 203
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5167
Country	:	US
Telephone Number	:	718-886-7998
Fax Number	:	718-886-7978

Provider Business Practice Location Address
First Line	:	13620 MAPLE AVE STE 203
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5167
Country	:	US
Telephone Number	:	718-886-7998
Fax Number	:	718-886-7978

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

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	04/02/2024

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Directions to “ YANQING MA ” Practice Location

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