Basic Information
| Provider Information | |||||||||
| NPI: | 1912567884 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHINATOWN TRUE CARE MEDICAL PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 139 CENTRE ST STE 711 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100134557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129255066 | ||||||||
| FaxNumber: | 2129650425 | ||||||||
| Practice Location | |||||||||
| Address1: | 139 CENTRE ST STE 711 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100134557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6312201581 | ||||||||
| FaxNumber: | 2129650425 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2019 | ||||||||
| LastUpdateDate: | 07/02/2020 | ||||||||
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| AuthorizedOfficialLastName: | ZHANG | ||||||||
| AuthorizedOfficialFirstName: | JIAN WEI | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9176857242 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| NPICertificationDate: | 07/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 208000000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.