Organization
JKAN GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LAU M.D. (OWNER PHYSICIAN)
(917) 607-7488
Entity
Organization
Contact information
Practice address
115 BROADWAY STE 1800, NEW YORK, NY 10006
(212) 388-1062
(212) 388-1063
Mailing address
115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
(212) 388-1062
(212) 388-1063
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
197142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1338113
GHI
NY
01
—
2468205
UNITEDHEALTHCARE
NY
01
—
6823925
CIGNA
NY
01
—
7193492
AETNA
NY
01
—
776098P
HIP
NY
01
—
7C4921
HEALTHNET
NY
01
—
90R211
EMPIRE BC BS
NY
01
—
P4130574
OXFORD
NY
Enumeration date
05/22/2010
Last updated
03/15/2019
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