Xiandong Shi Md | |
13336 41st Rd Unit 2g Flushing NY 11355-3666 | |
(718) 889-6368 | |
Not Available |
Full Name | Xiandong Shi Md |
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Speciality | Internal Medicine |
Location | 13336 41st Rd, Flushing, New York |
Authorized Official Name and Position | Xiandong Shi (PRESIDENT) |
Authorized Official Contact | 7188896368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Xiandong Shi Md 13336 41st Rd Unit 2g Flushing NY 11355-3666 Ph: (718) 889-6368 | Xiandong Shi Md 13336 41st Rd Unit 2g Flushing NY 11355-3666 Ph: (718) 889-6368 |
NPI Number | 1225215809 |
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Provider Enumeration Date | 01/26/2008 |
Last Update Date | 01/26/2008 |
Identifier | Type | State | Issuer |
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1225215809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 247287 (New York) | Primary |
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