Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Wall Medical PC

Organization Internal Medicine Physician · NPI 1417250168

Great Wall Medical PC is an Internal Medicine Physician in Flushing, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14627 Beech Ave # 1C
Flushing, NY 11355-2172
Phone: (718) 321-3962
Fax: (718) 321-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 251295 (NY)

Record details

NPI number1417250168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hangjun Jang — Attending Physician · (718) 321-3962
NPI enumeratedDecember 17, 2010
Last updated in NPPESDecember 17, 2010
Mailing address14627 Beech Ave # 1c, Flushing, NY 11355-2172

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