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LI COMPLEMENTARY & FAMILY MEDICAL CARE P.C. NPI 1922177419


NPI Information

NPI: 1922177419
Provider Name: LI COMPLEMENTARY & FAMILY MEDICAL CARE, P.C.

Doing Business As: JAMES Y.Z. WU, M.D.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D1041586

Address:
112 ALEXANDER AVE UNIT B
LAKE GROVE, NY
ZIP 11755
Phone: (631) 265-8258
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LI COMPLEMENTARY & FAMILY MEDICAL CARE, P.C. is a family medicine in Lake Grove, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LI COMPLEMENTARY & FAMILY MEDICAL CARE, P.C. NPI is 1922177419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As James Y.z. Wu, M.d..

The provider's business location address is:

112 ALEXANDER AVE UNIT B
LAKE GROVE, NY
ZIP 11755-429
Phone: (631) 265-8258
Fax: (631) 265-8256

The provider's authorized official is James Y.z. Wu .
The authorized official title is Medical Director and has the following contact phone number (631) 265-8258.

The CLIA number assigned to this NPI record is 33D1041586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 9/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine229361NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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