Healthcare Provider Details

I. General information

NPI: 1851614507
Provider Name (Legal Business Name): MELEEN CHUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 02/25/2024
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 2ND AVE
BROOKLYN NY
11220-3599
US

IV. Provider business mailing address

5610 2ND AVE
BROOKLYN NY
11220-3599
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-7241
  • Fax: 718-630-6878
Mailing address:
  • Phone: 718-630-2794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number256354
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number256354-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: