Basic Information
| Provider Information | |||||||||
| NPI: | 1932474236 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CHIEN KUO CHIANG M D P C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 LAFAYETTE ST | ||||||||
| Address2: | SUITE 701 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100134154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129417856 | ||||||||
| FaxNumber: | 2129418951 | ||||||||
| Practice Location | |||||||||
| Address1: | 109 LAFAYETTE ST | ||||||||
| Address2: | SUITE 701 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100134154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129417856 | ||||||||
| FaxNumber: | 2129418951 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2012 | ||||||||
| LastUpdateDate: | 04/24/2012 | ||||||||
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| AuthorizedOfficialLastName: | CHIANG | ||||||||
| AuthorizedOfficialFirstName: | CHIEN | ||||||||
| AuthorizedOfficialMiddleName: | KUO | ||||||||
| AuthorizedOfficialTitleorPosition: | DR | ||||||||
| AuthorizedOfficialTelephone: | 2129417856 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 177439 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.