Organization
TITAN MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANG TIAN M.D. (PHYSICIAN)
(347) 438-1534
Entity
Organization
Contact information
Practice address
13620 MAPLE AVE STE 802, FLUSHING, NY 11355-5169
(347) 438-1534
Mailing address
342 KNEELAND AVE, YONKERS, NY 10704-2713
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
254139
NY
261QR0400X
Rehabilitation Clinic/Center
Primary
254139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241485
—
NY
Enumeration date
08/04/2011
Last updated
01/02/2024
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