Organization
CHEN CHANG JIAN NP IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG JIAN CHEN FNP (OWNER)
(917) 282-7683
Entity
Organization
Contact information
Practice address
1740 84TH ST, BROOKLYN, NY 11214-2825
(718) 885-8484
Mailing address
1832 84TH ST, BROOKLYN, NY 11214-2915
(917) 282-7683
(718) 265-3344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
F333761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03510827
—
NY
Enumeration date
05/15/2014
Last updated
05/15/2014
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