Provider Demographics
NPI:1982010799
Name:MERCY CARE MEDICAL PLLC
Entity Type:Organization
Organization Name:MERCY CARE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/SINGLE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:WEI-HSIU
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-357-3796
Mailing Address - Street 1:5648 OCEANIA ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1737
Mailing Address - Country:US
Mailing Address - Phone:718-358-1251
Mailing Address - Fax:718-321-3537
Practice Address - Street 1:13336 41ST RD STE 1C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3666
Practice Address - Country:US
Practice Address - Phone:718-358-1251
Practice Address - Fax:718-321-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty