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CHINATOWN COMMUNITY MEDICAL PC NPI 1376572156


NPI Information

NPI: 1376572156
Provider Name: CHINATOWN COMMUNITY MEDICAL PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D1042288

Address:
128 MOTT ST STE 205, 206 & 207
NEW YORK, NY
ZIP 10013
Phone: (212) 680-0528
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CHINATOWN COMMUNITY MEDICAL PC is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CHINATOWN COMMUNITY MEDICAL PC NPI is 1376572156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 MOTT ST STE 205, 206 & 207
NEW YORK, NY
ZIP 10013-540
Phone: (212) 680-0528
Fax: (212) 680-0104

The provider's authorized official is Yin Sun .
The authorized official title is President and has the following contact phone number (212) 680-0528.

The CLIA number assigned to this NPI record is 33D1042288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine235195NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102657270MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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