Organization
ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON KUAN M.D. (PRESIDENT)
(718) 358-3535
Entity
Organization
Contact information
Practice address
13259 41ST RD, FLUSHING, NY 11355-4257
(718) 358-3535
(718) 358-2072
Mailing address
13259 41ST RD, FLUSHING, NY 11355-4257
(718) 358-3535
(718) 358-2072
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
173042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01132241
—
NY
Enumeration date
12/22/2008
Last updated
12/22/2008
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