CENTERHEALTH MEDICAL PLLC NPI 1710549779

NPI Information

  • NPI: 1710549779
  • Provider Name: CENTERHEALTH MEDICAL PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 33D2167683
  • Address: 3808 UNION ST STE 3K
    FLUSHING, NY
    ZIP 11354
  • Phone: (718) 578-1318

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NPI Details

CENTERHEALTH MEDICAL PLLC is a family medicine in Flushing, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTERHEALTH MEDICAL PLLC NPI is 1710549779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3808 UNION ST STE 3K
FLUSHING, NY
ZIP 11354-670
Phone: (718) 578-1318

The provider's authorized official is Wan Tan Chang .
The authorized official title is Manager and has the following contact phone number (718) 578-1318.

The CLIA number assigned to this NPI record is 33D2167683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2019 and was last updated on 6/30/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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