Mo, Shengjie

Mo, Shengjie is an individual health care provider with primary practice located at 13663 41St Ave , Flushing NY 11355-2433. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mo, Shengjie can be contacted via phone (718) 358-3858.

Contact Information

Primary practice address
13663 41St Ave Flushing NY 11355-2433
Phone: (718) 358-3858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333972 New York

Profile Details

NPI number 1770601015
LBN Legal business name Mo, Shengjie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770601015 NPPES
New York MEDICAID 02265465

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