CHUNGDAM WELLNESS GROUPINC NPI 1730463183

NPI Information

NPI: 1730463183
Provider Name: CHUNGDAM WELLNESS GROUP,INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
315 5TH AVE STE 1001
NEW YORK, NY
ZIP 10016
Phone: (212) 685-1004
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CHUNGDAM WELLNESS GROUP,INC is a primary care clinic center in New York, NY. CHUNGDAM WELLNESS GROUP,INC NPI is 1730463183. The provider is registered as an organization entity type.

The provider's business location address is:

315 5TH AVE STE 1001
NEW YORK, NY
ZIP 10016-510
Phone: (212) 685-1004
Fax: (212) 685-1007

The provider's authorized official is Lisa Persaud .
The authorized official title is Medical Director and has the following contact phone number (212) 685-1004.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	004553	NEW YORK	No
2	261QP2000X	Clinic/Center	Physical Therapy	032406	NEW YORK	No
3	261QP2300X	Clinic/Center	Primary Care	254812	NEW YORK	Yes

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

NPI Synchronization or Removal

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