Healthcare Provider Details

I. General information

NPI: 1407501844
Provider Name (Legal Business Name): BK COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 02/15/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHIEN K CHANG MD PC 109 LAFAYETTE ST SUITE 701
NEW YORK NY
10013
US

IV. Provider business mailing address

73 SUSSEX DR
MANHASSET NY
11030-3515
US

V. Phone/Fax

Practice location:
  • Phone: 212-941-7856
  • Fax:
Mailing address:
  • Phone: 917-916-5745
  • Fax: 800-557-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUI WANG
Title or Position: PHYSICIAN / PARTNER
Credential: MD
Phone: 917-916-5745