Organization
YUN & CHIN-TAN PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA CHIN-TAN DO (PHYSICIAN)
(718) 663-2179
Entity
Organization
Contact information
Practice address
14205 ROOSEVELT AVE APT 112, FLUSHING, NY 11354-6005
(718) 663-2179
(631) 684-2401
Mailing address
14205 ROOSEVELT AVE APT 112, FLUSHING, NY 11354-6005
(718) 663-2179
(631) 684-2401
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154679090
NPI
NY
01
—
1386922359
NPI
NY
Enumeration date
10/15/2021
Last updated
05/05/2022
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