Organization
CHINATOWN MEDICAL CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENGHE TIAN M.D. (PRESIDENT)
(646) 256-4025
Entity
Organization
Contact information
Practice address
139 CENTRE ST, RM 302, NEW YORK, NY 10013-4552
(212) 219-2269
Mailing address
139 CENTRE ST, RM 302, NEW YORK, NY 10013-4552
(212) 219-2269
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
241247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03123526
—
NY
Enumeration date
07/06/2009
Last updated
02/10/2012
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