| Centerhealth Medical Pllc | |
|
3808 Union St Ste 3k Flushing NY 11354-5670 | |
| (718) 578-1318 | |
| Not Available |
| Full Name | Centerhealth Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3808 Union St Ste 3k, Flushing, New York |
| Authorized Official Name and Position | Wan Tan Chang (MANAGER) |
| Authorized Official Contact | 7185781318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerhealth Medical Pllc 14000 E 980 North Rd Georgetown IL 61846-7511 Ph: (718) 578-1318 | Centerhealth Medical Pllc 3808 Union St Ste 3k Flushing NY 11354-5670 Ph: (718) 578-1318 |
| NPI Number | 1710549779 |
|---|---|
| Provider Enumeration Date | 06/30/2019 |
| Last Update Date | 06/30/2019 |
| Medicare PECOS PAC ID | 9739518416 |
|---|---|
| Medicare Enrollment ID | O20200331002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710549779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wan Tan Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174866859 PECOS PAC ID: 5395047641 Enrollment ID: I20200331003177 |
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