Provider Demographics
NPI:1093080996
Name:KING-CHEN HON MD PC
Entity Type:Organization
Organization Name:KING-CHEN HON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KING-CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-359-2827
Mailing Address - Street 1:13511 40TH RD
Mailing Address - Street 2:SUITE #3A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5323
Mailing Address - Country:US
Mailing Address - Phone:718-359-2827
Mailing Address - Fax:718-461-4308
Practice Address - Street 1:13511 40TH RD
Practice Address - Street 2:SUITE #3A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5323
Practice Address - Country:US
Practice Address - Phone:718-359-2827
Practice Address - Fax:718-461-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167406-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01099063Medicaid
NY54572AMedicare PIN
NYA60347Medicare UPIN