MEDICARE: COMPREHENSIVE FAMILY HEALTH NP CONSULTANT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1063125045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE FAMILY HEALTH NP CONSULTANT PC

Provider Business Mailing Address
First Line	:	549 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4605
Country	:	US
Telephone Number	:	347-338-8012
Fax Number	:

Provider Business Practice Location Address
First Line	:	549 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4605
Country	:	US
Telephone Number	:	347-338-8012
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHUAI CHEN
Credential	:	NP
Telephone Number	:	347-338-8012

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	06/16/2023

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