| Jing Gastroenterology & Hepatology Pc | |
|
13668 Roosevelt Ave Fl 3 Flushing NY 11354-5510 | |
| (718) 886-9819 | |
| (718) 886-9809 |
| Full Name | Jing Gastroenterology & Hepatology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13668 Roosevelt Ave, Flushing, New York |
| Authorized Official Name and Position | Tong Jing (PRESIDENT) |
| Authorized Official Contact | 7188869819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jing Gastroenterology & Hepatology Pc 15 Oak Dr Great Neck NY 11021-1809 Ph: (516) 472-7993 | Jing Gastroenterology & Hepatology Pc 13668 Roosevelt Ave Fl 3 Flushing NY 11354-5510 Ph: (718) 886-9819 |
| NPI Number | 1154739324 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 8325350689 |
|---|---|
| Medicare Enrollment ID | O20150630001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154739324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 256797 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 256797 (New York) | Primary |
| Provider Name | Tong Jing |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316916778 PECOS PAC ID: 0840225637 Enrollment ID: I20130607000337 |
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