| Yun & Chin-tan Physicians Pllc | |
|
14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 | |
| (718) 663-2179 | |
| (631) 684-2401 |
| Full Name | Yun & Chin-tan Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 14205 Roosevelt Ave Apt 112, Flushing, New York |
| Authorized Official Name and Position | Jessica Chin-tan (PHYSICIAN) |
| Authorized Official Contact | 7186632179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yun & Chin-tan Physicians Pllc 14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 Ph: (718) 663-2179 | Yun & Chin-tan Physicians Pllc 14205 Roosevelt Ave Apt 112 Flushing NY 11354-6005 Ph: (718) 663-2179 |
| NPI Number | 1114680287 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 0244625622 |
|---|---|
| Medicare Enrollment ID | O20220824001660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114680287 | NPI | - | NPPES |
| 1154679090 | Other | NY | NPI |
| 1386922359 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | David Kin Yun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154679090 PECOS PAC ID: 9032431887 Enrollment ID: I20141204002128 |
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