Healthcare Provider Details

I. General information

NPI: 1770854275
Provider Name (Legal Business Name): ACCESS HEALTH MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 55TH ST FL 1
BROOKLYN NY
11220-3213
US

IV. Provider business mailing address

818 55TH ST FL 1
BROOKLYN NY
11220-3213
US

V. Phone/Fax

Practice location:
  • Phone: 718-972-6868
  • Fax: 718-972-2588
Mailing address:
  • Phone: 718-972-6868
  • Fax: 718-972-2588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number259610
License Number StateNY

VIII. Authorized Official

Name: JUN KANG
Title or Position: DIRECTOR
Credential: M.D
Phone: 718-972-6868