| New Island Medical Practice, P.c. | |
|
13107 40th Rd Ste E22 Flushing NY 11354-5270 | |
| (718) 939-3800 | |
| (718) 939-3899 |
| Full Name | New Island Medical Practice, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13107 40th Rd Ste E22, Flushing, New York |
| Authorized Official Name and Position | Jianping Zhang (PHYSICIAN OWNER) |
| Authorized Official Contact | 5169969010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Island Medical Practice, P.c. 87 Arleigh Rd Great Neck NY 11021-1442 Ph: (516) 996-9010 | New Island Medical Practice, P.c. 13107 40th Rd Ste E22 Flushing NY 11354-5270 Ph: (718) 939-3800 |
| NPI Number | 1073935458 |
|---|---|
| Provider Enumeration Date | 01/20/2014 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 4789815945 |
|---|---|
| Medicare Enrollment ID | O20140401001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073935458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jianhong J Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386848778 PECOS PAC ID: 5092882969 Enrollment ID: I20080918000035 |
| Provider Name | Jianping Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528233293 PECOS PAC ID: 8921148206 Enrollment ID: I20091217000163 |
| Provider Name | Yingyi Deng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154073005 PECOS PAC ID: 0749626331 Enrollment ID: I20240305004411 |
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