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NPI Code Detail

MEDICARE: CHUAN JIANG M.D.

MEDICARE: CHUAN JIANG M.D.
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
1207R00000XInternal Medicine Physician276503NY
2207RN0300XNephrology Physician276503NY
3207RP1001XPulmonary Disease Physician276503NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790028025
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUAN JIANG M.D.
Provider Business Mailing Address
First Line : 18 PONT ST
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-3458
Country : US
Telephone Number : 516-829-0609
Fax Number :
Provider Business Practice Location Address
First Line : 4199 MAIN ST STE 202C
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5164
Country : US
Telephone Number : 718-285-6606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 08/10/2020

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Directions to “ CHUAN JIANG M.D.” Practice Location

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