Provider Demographics
NPI:1437324217
Name:WOMEN'S INTEGRATED MEDICINE, P.C.
Entity Type:Organization
Organization Name:WOMEN'S INTEGRATED MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-321-2550
Mailing Address - Street 1:13630 MAPLE AVE
Mailing Address - Street 2:SUITE 2 I
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3824
Mailing Address - Country:US
Mailing Address - Phone:718-321-2177
Mailing Address - Fax:718-321-1177
Practice Address - Street 1:13630 MAPLE AVE
Practice Address - Street 2:SUITE 2 I
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3824
Practice Address - Country:US
Practice Address - Phone:718-321-2177
Practice Address - Fax:718-321-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty