Provider Demographics
NPI:1669735122
Name:TIAN NIAN HEALTH MANGEMENT LLC
Entity type:Organization
Organization Name:TIAN NIAN HEALTH MANGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-358-3609
Mailing Address - Street 1:4161 KISSENA BLVD
Mailing Address - Street 2:CONCOURSE LEVEL SUTIE# 36
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3181
Mailing Address - Country:US
Mailing Address - Phone:718-358-3609
Mailing Address - Fax:718-358-3610
Practice Address - Street 1:4161 KISSENA BLVD
Practice Address - Street 2:CONCOURSE LEVEL SUTIE# 36
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3181
Practice Address - Country:US
Practice Address - Phone:718-358-3609
Practice Address - Fax:718-358-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care