Organization
COMPREHENSIVE PERINATAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YING CHAN MD (OWNER)
(718) 268-0010
Entity
Organization
Contact information
Practice address
13336 41ST RD # 2A, FLUSHING, NY 11355-3666
(718) 268-0008
(347) 851-1209
Mailing address
14453 JEWEL AVE, FLUSHING, NY 11367-1722
(718) 268-0010
(347) 851-1209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08199783
—
NY
Enumeration date
10/29/2019
Last updated
02/05/2020
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