Dr Hong'S Medical PC
Clinic/Center, Medical Specialty in Flushing, NY. Organization (NPI-2).
NPI number1104133792
StatusActive
Last updated in NPPESNov 19, 2010
Details
- NPI
- 1104133792
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Hong'S Medical PC
- Organization subpart
- No
- Enumeration date
- Sep 3, 2010
- Last updated
- Nov 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 200108 | NY | Yes |
Practice location
14205 Roosevelt Ave Ste 109Flushing, NY 11354-6005
Phone 718-886-5252 · Fax 718-539-0677
Mailing address
14205 Roosevelt Ave Ste 109Flushing, NY 11354-6005
Phone 718-886-5252 · Fax 718-539-0677
Authorized official
Jae Kwang Hong
Owner
7188865252
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