Provider Demographics
NPI:1932474236
Name:CHIEN KUO CHIANG M D P C
Entity Type:Organization
Organization Name:CHIEN KUO CHIANG M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIEN
Authorized Official - Middle Name:KUO
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-941-7856
Mailing Address - Street 1:109 LAFAYETTE ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4154
Mailing Address - Country:US
Mailing Address - Phone:212-941-7856
Mailing Address - Fax:212-941-8951
Practice Address - Street 1:109 LAFAYETTE ST
Practice Address - Street 2:SUITE 701
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4154
Practice Address - Country:US
Practice Address - Phone:212-941-7856
Practice Address - Fax:212-941-8951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177439207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty