Individual
DR. JESSICA MON CHIN-TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14205 ROOSEVELT AVE UNIT 112, FLUSHING, NY 11354-1135
(646) 653-0889
Mailing address
14205 ROOSEVELT AVE, APT 112, FLUSHING, NY 11354-6005
(917) 903-9469
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274560
NY
Other
Enumeration date
07/25/2011
Last updated
05/05/2022
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