Organization
EASTERN CHINESE AMERICAN PHYSICIAN IPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CHAN (CHIEF OPERATING OFFICER)
(718) 321-8893
Entity
Organization
Contact information
Practice address
13620 38TH AVE STE 5J, FLUSHING, NY 11354-4232
(718) 321-8893
Mailing address
3370 PRINCE ST STE 703, FLUSHING, NY 11354-2703
(718) 321-8893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NY
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
NY
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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