Healthcare Provider Details

I. General information

NPI: 1770253452
Provider Name (Legal Business Name): INSIGHT COMPREHENSIVE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 MAPLE AVE STE 201
FLUSHING NY
11355-5167
US

IV. Provider business mailing address

13620 MAPLE AVE STE 201
FLUSHING NY
11355-5167
US

V. Phone/Fax

Practice location:
  • Phone: 718-799-0127
  • Fax:
Mailing address:
  • Phone: 718-799-0127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TUO CHEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 646-609-6138