# YUN & CHIN-TAN PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114680287
- **Authorized official:** DR. JESSICA CHIN-TAN DO (PHYSICIAN)
- **Authorized official phone:** (718) 663-2179

## Contact information

- **Practice address:** 14205 ROOSEVELT AVE APT 112, FLUSHING, NY 11354-6005
- **Practice address phone:** (718) 663-2179
- **Practice address fax:** (631) 684-2401
- **Mailing address:** 14205 ROOSEVELT AVE APT 112, FLUSHING, NY 11354-6005
- **Mailing address phone:** (718) 663-2179
- **Mailing address fax:** (631) 684-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2021
- **Last updated:** 05/05/2022