| Ding Medical Office | |
|
13630 Maple Ave Ste 2f Flushing NY 11355-3867 | |
| (516) 806-2288 | |
| (708) 888-9600 |
| Full Name | Ding Medical Office |
|---|---|
| Speciality | Internal Medicine |
| Location | 13630 Maple Ave Ste 2f, Flushing, New York |
| Authorized Official Name and Position | Yongzeng Ding (MD) |
| Authorized Official Contact | 5168062288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ding Medical Office 8 Wisteria Pl Syosset NY 11791-2824 Ph: (516) 659-7366 | Ding Medical Office 13630 Maple Ave Ste 2f Flushing NY 11355-3867 Ph: (516) 806-2288 |
| NPI Number | 1922661164 |
|---|---|
| Provider Enumeration Date | 04/14/2019 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 5597094458 |
|---|---|
| Medicare Enrollment ID | O20190903001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922661164 | NPI | - | NPPES |
| 265413 | Other | NY | NEW YORK LICENSE |
| 286502 | Other | NY | NEW YORK LICENSE |
| 03477410 | Medicaid | NY | |
| 04598087 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yongzeng Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386917680 PECOS PAC ID: 1658528104 Enrollment ID: I20120906000033 |
| Provider Name | Lin Ji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043578321 PECOS PAC ID: 9638451099 Enrollment ID: I20190920000460 |
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