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General NPI Number Information
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NPI Number | 1164227559
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Entity Type | Organization
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Legal Business Name | LY MEDICAL DIAGNOSTICS PLLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 533 48TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5605
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Country | US
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Telephone | 718-888-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 174TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-3411
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Country | US
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Telephone | 718-888-1117
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | LOK YUNG
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Credential | MD
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Telephone | 718-888-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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