| Dong-hong Shong, M.d., P.c. | |
|
13668 Roosevelt Ave Ste 4b Flushing NY 11354-5510 | |
| (718) 539-3648 | |
| (718) 661-3758 |
| Full Name | Dong-hong Shong, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13668 Roosevelt Ave Ste 4b, Flushing, New York |
| Authorized Official Name and Position | Dong-hong Shong (PRESIDENT) |
| Authorized Official Contact | 7185393648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dong-hong Shong, M.d., P.c. 13668 Roosevelt Ave Ste 4b Flushing NY 11354-5510 Ph: (718) 539-3648 | Dong-hong Shong, M.d., P.c. 13668 Roosevelt Ave Ste 4b Flushing NY 11354-5510 Ph: (718) 539-3648 |
| NPI Number | 1912152984 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 0749475598 |
|---|---|
| Medicare Enrollment ID | O20101108000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912152984 | NPI | - | NPPES |
| 01722018 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 189477 (New York) | Primary |
| Provider Name | Dong-hong Shong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659353068 PECOS PAC ID: 1658566401 Enrollment ID: I20101108000007 |
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