# SANFORD MEDICAL CARE, PLLC

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

## Provider details

- **NPI number:** 1891163937
- **Authorized official:** CHE-NAN CHUANG M.D. (OWNER)
- **Authorized official phone:** (718) 461-9779

## Contact information

- **Practice address:** 13347 SANFORD AVE, SUITE 1C, FLUSHING, NY 11355-5800
- **Practice address phone:** (718) 461-9779
- **Mailing address:** 13347 SANFORD AVE, SUITE 1C, FLUSHING, NY 11355-5800
- **Mailing address phone:** (718) 461-9779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 09/07/2015
- **Last updated:** 06/12/2020