| Long Island Home Visiting Physician, Pc | |
|
3907 Prince St 3g Flushing NY 11354-5399 | |
| (718) 888-1202 | |
| (516) 558-7900 |
| Full Name | Long Island Home Visiting Physician, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3907 Prince St, Flushing, New York |
| Authorized Official Name and Position | Yuchun Chen (MD) |
| Authorized Official Contact | 9178259391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Home Visiting Physician, Pc 15 Jean Pl Syosset NY 11791-5914 Ph: (718) 888-1202 | Long Island Home Visiting Physician, Pc 3907 Prince St 3g Flushing NY 11354-5399 Ph: (718) 888-1202 |
| NPI Number | 1255519971 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 12/10/2010 |
| Medicare PECOS PAC ID | 8426136748 |
|---|---|
| Medicare Enrollment ID | O20080425000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255519971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 237534 (New York) | Primary |
| Provider Name | Yuchun Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417016221 PECOS PAC ID: 2466542766 Enrollment ID: I20080107000238 |
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