# JACKSON H. KUAN M.D. LLC

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

## Provider details

- **NPI number:** 1134248594
- **Authorized official:** DR. JACKSON H KUAN MD (PRESIDENT)
- **Authorized official phone:** (718) 358-3535

## Contact information

- **Practice address:** 13259 41ST RD, SUITE 1A, FLUSHING, NY 11355-4257
- **Practice address phone:** (718) 358-3535
- **Practice address fax:** (718) 358-2072
- **Mailing address:** 13259 41ST RD, SUITE 1A, FLUSHING, NY 11355-4257
- **Mailing address phone:** (718) 358-3535
- **Mailing address fax:** (718) 358-2072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 173042 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020