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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.