OrganizationLifecare Medical, PllcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13324 Sanford Ave Apt 1k, Flushing, NY 11355-3618(718) 353-0555PECOS EnrollmentBased on the most recent information from CMS, provider Lifecare Medical, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1205253903Provider TypeOrganizationFull NameLifecare Medical, PllcSubpartNoEnumeration Date3/20/2014Last Updated4/21/2014Contact InformationPractice LocationPractice Address13324 Sanford Ave Apt 1k, Flushing, NY 11355-3618Phone(718) 353-0555Fax(718) 353-0566Mailing LocationMailing Address13324 Sanford Ave Apt 1k, Flushing, NY 11355-3618Phone(718) 353-0555Fax(718) 353-0566Authorized OfficialNameLin, Ya Li (President)Phone(718) 353-0555Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense252343New YorkProvider IdentifiersIDDescriptionIssuerID03573159DescriptionMedicaidIssuerUnlistedNew York