Organization
CHIXIN FANG MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIXIN FANG M.D. (PRESIDENT)
(718) 439-7288
Entity
Organization
Contact information
Practice address
730 58TH ST # 1A, BROOKLYN, NY 11220-3917
(718) 439-7288
(718) 439-0788
Mailing address
730 58TH STREET, 1A, BROOKLYN, NY 11220-3917
(718) 439-7288
(718) 439-0788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234095
NY
208D00000X
General Practice Physician
249103-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02597542
—
NY
Enumeration date
09/18/2008
Last updated
07/21/2022
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