| Kinwell Medical Services, Pc | |
|
41 Brunswick St Fl 1 Staten Island NY 10314 | |
| (718) 983-0660 | |
| Not Available |
| Full Name | Kinwell Medical Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 41 Brunswick St Fl 1, Staten Island, New York |
| Authorized Official Name and Position | Cherry Mar-chan (VP) |
| Authorized Official Contact | 7189830660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinwell Medical Services, Pc 41 Brunswick St Fl 1 Staten Island NY 10314-6017 Ph: (718) 983-0660 | Kinwell Medical Services, Pc 41 Brunswick St Fl 1 Staten Island NY 10314 Ph: (718) 983-0660 |
| NPI Number | 1447389630 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/11/2019 |
| Medicare PECOS PAC ID | 9638192867 |
|---|---|
| Medicare Enrollment ID | O20060113000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447389630 | NPI | - | NPPES |
| 7629766 | Other | NY | AETNA PPO |
| 02797482 | Medicaid | NY | |
| 102582 | Other | NY | AETNA HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cherry Mar-chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629041504 PECOS PAC ID: 8527084698 Enrollment ID: I20051018000721 |
| Provider Name | Yeoman K Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811960446 PECOS PAC ID: 9638197452 Enrollment ID: I20051109000930 |
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