MEDICARE: DR. HELEN NA-CHUANG

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	207V00000X	Obstetrics & Gynecology Physician	176585	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	176585	OTHER	NY	HIP PIN

General Provider Information

NPI Number	:	1871632166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN NA-CHUANG

Provider Business Mailing Address
First Line	:	7111 110TH ST
Second Line	:	SUITE LL
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4851
Country	:	US
Telephone Number	:	347-809-4300
Fax Number	:	718-502-0049

Provider Business Practice Location Address
First Line	:	7111 110TH ST
Second Line	:	SUITE LL
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4851
Country	:	US
Telephone Number	:	347-809-4900
Fax Number	:	718-502-0049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	01/06/2015

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