Jimmy He Medical PC
Clinic/Center, Medical Specialty in Flushing, NY. Organization (NPI-2).
NPI number1619213600
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1619213600
- Entity type
- Organization (NPI-2)
- Legal business name
- Jimmy He Medical PC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2012
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 264102 | NY | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Practice location
3712 Prince St Ste 7dFlushing, NY 11354-4651
Phone 718-886-8826 · Fax 718-886-8726
Mailing address
21620 28th Ave Bay BaysideBayside, NY 11360-2618
Phone 917-256-9520
Authorized official
Jinghua He
President
9172569520
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