Active NPIIndividual provider

Jin Song

Internal Medicine in Flushing, New York

NPI Number1720312531
Practice location
4160 Main St Ste 203, Flushing, NY 11355-3899
Fax
—
Last updated
July 8, 2024

Jin Song is an Internal Medicine based in Flushing, NY. Jin Song practices in Flushing, NY. The NPI Number for Jin Song is 1720312531 and holds a License No. 050655 (CT). The current practice location address for Jin Song is 4160 Main St Ste 203, Flushing, NY 11355-3899 and can be reached out via phone at 718-290-5810.

Provider Profile Details

NPI Number
1720312531
Provider Name
Jin Song
Provider Entity Type
Individual
Gender
Female
Address
4160 Main St Ste 203, Flushing, NY 11355-3899
Phone Number
718-290-5810
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2009
Last Update Date
July 8, 2024
Certification Date
July 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4160 Main St Ste 203
Flushing, NY 11355-3899
Zip
11355-3899
Phone Number
718-290-5810
Flushing, NY 11355Get directions →

Provider Business Mailing Address Details

Address
4160 Main St Ste 203
Flushing, NY 11355-3899
City
Flushing
State
NY
Zip
11355-3899
Phone Number
718-290-5810

License Information

License Number (1)
050655
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
050655
License State (2)
CT
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
275843
License State (3)
NY
Taxonomy (3)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jin Song?

The NPI number of Jin Song is 1720312531. It was assigned on September 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Jin Song?

Jin Song is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 050655.

Where does Jin Song practice?

The practice location is 4160 Main St Ste 203, Flushing, NY 11355-3899. The office can be reached at 718-290-5810 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720312531 directly on the NPPES registry website.

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