Organization
HEALTHY LIFE CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINGLING TANG MD (PRESIDENT)
(718) 839-0376
Entity
Organization
Contact information
Practice address
1775 BAY RIDGE PKWY, BROOKLYN, NY 11204-5622
(718) 839-0376
Mailing address
1775 BAY RIDGE PKWY, BROOKLYN, NY 11204-5622
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04715335
—
NY
Enumeration date
10/19/2017
Last updated
10/19/2017
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