Provider Demographics
NPI:1528115698
Name:METRO TRUE CARE MEDICAL, P.C.
Entity type:Organization
Organization Name:METRO TRUE CARE MEDICAL, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIAN WEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-965-0496
Mailing Address - Street 1:139 CENTRE ST
Mailing Address - Street 2:SUITE 709
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4552
Mailing Address - Country:US
Mailing Address - Phone:212-965-0496
Mailing Address - Fax:212-965-0425
Practice Address - Street 1:139 CENTRE ST
Practice Address - Street 2:SUITE 709
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4552
Practice Address - Country:US
Practice Address - Phone:212-965-0496
Practice Address - Fax:212-965-0425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHINATOWN TRUE CARE MEDICAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-04
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01818157Medicaid
NYG67520Medicare UPIN
NY793901Medicare ID - Type Unspecified