Legacy Medical Pllc is a Neurology Clinic in Jackson Hts, New York. It is located at 3741 77th St, Jackson Hts, NY and its contact number is 718-406-9588. The authorized person for Legacy Medical Pllc is Madhu Boppana
who is Owner of the clinic and his/her contact number is 646-270-1050. The primary license number for Legacy Medical Pllc is 199052-1 (Neurology) in New York. Legacy Medical Pllc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Legacy Medical Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Legacy Medical Pllc
Specialization:
Neurology
Clinic Address:
3741 77th St, Jackson Hts, New York, 11372-6629
Phone:
718-406-9588
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Madhu Boppana
Position:
Owner
Contact Number:
646-270-1050
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Legacy Medical Pllc clinic are as mentioned below.
NPI Number:
1457609653
NPI Enumeration Date:
17 Aug, 2012
NPI Last Update On:
25 Feb, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Medical Pllc are as mentioned below.
Specialization
License Number
State
Status
Neurology
199052-1
New York
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Legacy Medical Pllc 245 8th Ave # 101, New York, New York
Zip:
10011-1607
Phone Number:
646-270-1050
Patients can reach Legacy Medical Pllc at 3741 77th St, Jackson Hts, New York or can call to book an appointment on 718-406-9588. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.