Individual
DR. JACKSON HSUN KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13259 41 RD, SUITE 1A AND 1B, FLUSHING, NY 11355
(718) 358-3535
(718) 358-2072
Mailing address
13259 41 RD, SUITE 1A AND 1B, FLUSHING, NY 11355
(718) 358-3535
(718) 358-2072
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
173042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132241
—
NY
Enumeration date
09/13/2006
Last updated
09/21/2011
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