OrganizationActive
154 Northern Medical Practice
NPI 1710311691 · Ambulatory Surgical Clinic/Center · Flushing, NY
Provider details
- NPI number
- 1710311691
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Joon Mo Myung, Owner
Practice location
15408 Northern Blvd
Suite 2k
Flushing, NY 11354-5040
Phone: (718) 445-0200
Mailing address
15408 Northern Blvd
Flushing, NY 11354-5040
Registry dates
- Enumerated
- 2013-08-27
- Last updated
- 2013-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.