Organization
KINWELL MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY MAR-CHAN MD (VP)
(718) 983-0660
Entity
Organization
Contact information
Practice address
41 BRUNSWICK ST FL 1, STATEN ISLAND, NY 10314
(718) 983-0660
Mailing address
41 BRUNSWICK ST FL 1, STATEN ISLAND, NY 10314-6017
(718) 983-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797482
—
NY
01
—
102582
AETNA HMO
NY
01
—
7629766
AETNA PPO
NY
Enumeration date
03/05/2007
Last updated
11/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us