| Elmhurst Digestive And Liver Diseases | |
|
8708 Justice Ave Ste C6 Elmhurst NY 11373-4590 | |
| (646) 286-6921 | |
| Not Available |
| Full Name | Elmhurst Digestive And Liver Diseases |
|---|---|
| Speciality | Internal Medicine |
| Location | 8708 Justice Ave Ste C6, Elmhurst, New York |
| Authorized Official Name and Position | Chuansheng Wang (PRESIDENT) |
| Authorized Official Contact | 6462866921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmhurst Digestive And Liver Diseases 8708 Justice Ave Ste C6 Elmhurst NY 11373-4590 Ph: () - | Elmhurst Digestive And Liver Diseases 8708 Justice Ave Ste C6 Elmhurst NY 11373-4590 Ph: (646) 286-6921 |
| NPI Number | 1750794657 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 4082839592 |
|---|---|
| Medicare Enrollment ID | O20140625001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750794657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251177 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 251177 (New York) | Primary |
| Provider Name | Chuansheng Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124286034 PECOS PAC ID: 7315195807 Enrollment ID: I20140625001113 |
| Provider Name | Jiang Fan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871838789 PECOS PAC ID: 4880847706 Enrollment ID: I20150223000771 |
| Provider Name | Tiangui Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356773899 PECOS PAC ID: 0345556080 Enrollment ID: I20150826001603 |
| Provider Name | Snow Trinh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598196776 PECOS PAC ID: 1456641653 Enrollment ID: I20160531001628 |
| Provider Name | Kimberly Grace Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316593718 PECOS PAC ID: 7719377647 Enrollment ID: I20211207001786 |
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