| Chixin Fang Medical P.c. | |
|
730 58th St # 1a Brooklyn NY 11220-3917 | |
| (718) 439-7288 | |
| (718) 439-0788 |
| Full Name | Chixin Fang Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 730 58th St # 1a, Brooklyn, New York |
| Authorized Official Name and Position | Chixin Fang (PRESIDENT) |
| Authorized Official Contact | 7184397288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chixin Fang Medical P.c. 730 58th Street 1a Brooklyn NY 11220-3917 Ph: (718) 439-7288 | Chixin Fang Medical P.c. 730 58th St # 1a Brooklyn NY 11220-3917 Ph: (718) 439-7288 |
| NPI Number | 1174772818 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0840347175 |
|---|---|
| Medicare Enrollment ID | O20090402000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174772818 | NPI | - | NPPES |
| 02597542 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 234095 (New York) | Primary |
| 208D00000X | General Practice | 249103-1 (New York) | Secondary |
| Provider Name | Chixin Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043239528 PECOS PAC ID: 9537150644 Enrollment ID: I20090402000475 |
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