Provider Demographics
NPI:1396192159
Name:SMYL CARE, INC
Entity Type:Organization
Organization Name:SMYL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC
Authorized Official - Prefix:
Authorized Official - First Name:GUIXIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:YUE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-213-9882
Mailing Address - Street 1:6022 7TH AVE, 1 FL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4105
Mailing Address - Country:US
Mailing Address - Phone:718-439-1381
Mailing Address - Fax:718-288-2992
Practice Address - Street 1:6022 7TH AVE FL 1
Practice Address - Street 2:6022 7TH AVE 1FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4105
Practice Address - Country:US
Practice Address - Phone:917-254-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026971302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization