| Anna G.l. Chan, M.d. P.c. | |
|
14105 Cherry Ave Ste 1e Flushing NY 11355-3291 | |
| (631) 828-9889 | |
| Not Available |
| Full Name | Anna G.l. Chan, M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 14105 Cherry Ave, Flushing, New York |
| Authorized Official Name and Position | Anna Chan (PRESIDENT) |
| Authorized Official Contact | 7183580038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna G.l. Chan, M.d. P.c. 14105 Cherry Ave Apt 1e Flushing NY 11355-3292 Ph: (718) 358-0038 | Anna G.l. Chan, M.d. P.c. 14105 Cherry Ave Ste 1e Flushing NY 11355-3291 Ph: (631) 828-9889 |
| NPI Number | 1346651247 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 7618196346 |
|---|---|
| Medicare Enrollment ID | O20140911001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346651247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anna Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477851103 PECOS PAC ID: 2466605951 Enrollment ID: I20130111000415 |
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