Organization
ABC HEALTH SERVICE REG. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY F. CHAN (PRESIDENT/ADMINISTRATOR)
(516) 318-8171
Entity
Organization
Contact information
Practice address
13340 37TH AVE APT 2, FLUSHING, NY 11354-4456
(718) 359-2284
(718) 359-3252
Mailing address
13340 37TH AVE APT 2, FLUSHING, NY 11354-4456
(718) 359-2284
(718) 359-3252
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
9137L001
NY
261QH0100X
Health Service Clinic/Center
9137L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04690575
—
NY
Enumeration date
05/04/2017
Last updated
05/04/2017
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