| Kmjan, Llc | |
|
3765 Riverdale Ave Suite 5 Riverdale NY 10463-1845 | |
| (718) 601-4800 | |
| (718) 601-6102 |
| Full Name | Kmjan, Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3765 Riverdale Ave, Riverdale, New York |
| Authorized Official Name and Position | Kung-ming Jan (DIRECTOR) |
| Authorized Official Contact | 7185431877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmjan, Llc 3656 Johnson Ave Suite 2b Riverdale NY 10463-1609 Ph: (718) 543-1877 | Kmjan, Llc 3765 Riverdale Ave Suite 5 Riverdale NY 10463-1845 Ph: (718) 601-4800 |
| NPI Number | 1689651226 |
|---|---|
| Provider Enumeration Date | 12/24/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689651226 | NPI | - | NPPES |
| 00592374 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 122967 (New York) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 122967 (New York) | Primary |
Jessica Halprin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 Henry Hudson Parkway, Suite 1h, Riverdale, NY 10463 Phone: 718-601-2941 Fax: 718-601-8068 |