Provider Demographics
NPI:1447438197
Name:A PLUS MEDICAL CARE, PC
Entity type:Organization
Organization Name:A PLUS MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-567-3667
Mailing Address - Street 1:763 56TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3529
Mailing Address - Country:US
Mailing Address - Phone:718-567-3667
Mailing Address - Fax:718-567-2332
Practice Address - Street 1:763 56TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3529
Practice Address - Country:US
Practice Address - Phone:718-567-3667
Practice Address - Fax:718-567-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224112261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02278999Medicaid
NY03134838Medicaid
NYH73258Medicare UPIN
NY03134838Medicaid