| Kang Lan Medical Pllc | |
|
4211 Parsons Blvd Apt 4b Flushing NY 11355-2150 | |
| (347) 925-2950 | |
| Not Available |
| Full Name | Kang Lan Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4211 Parsons Blvd, Flushing, New York |
| Authorized Official Name and Position | Summer Ruonan Zhang (CEO) |
| Authorized Official Contact | 3479252950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kang Lan Medical Pllc 200 S Middle Neck Rd Apt K3 Great Neck NY 11021-4650 Ph: (347) 925-2950 | Kang Lan Medical Pllc 4211 Parsons Blvd Apt 4b Flushing NY 11355-2150 Ph: (347) 925-2950 |
| NPI Number | 1861881872 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 8224355847 |
|---|---|
| Medicare Enrollment ID | O20150319001611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861881872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 263074 (New York) | Primary |
| Provider Name | Summer R Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508106022 PECOS PAC ID: 8628214145 Enrollment ID: I20130429000167 |
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