| Elite Medical Associates | |
|
14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 | |
| (718) 663-2179 | |
| (631) 684-2401 |
| Full Name | Elite Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 14205 Roosevelt Ave Apt 112, Flushing, New York |
| Authorized Official Name and Position | Jessica Mon Chin-tan (PHYSICIAN) |
| Authorized Official Contact | 6466530889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Associates 14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 Ph: (718) 663-2179 | Elite Medical Associates 14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 Ph: (718) 663-2179 |
| NPI Number | 1235759812 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235759812 | NPI | - | NPPES |
| 03993033 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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