Individual
CHUAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 MAIN ST STE 202C, FLUSHING, NY 11355-5164
(718) 285-6606
Mailing address
18 PONT ST, GREAT NECK, NY 11021-3458
(516) 829-0609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276503
NY
207RN0300X
Nephrology Physician
276503
NY
207RP1001X
Pulmonary Disease Physician
Primary
276503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04366390
—
NY
Enumeration date
04/04/2013
Last updated
08/10/2020
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