Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 255981 | NY |
NPI | 1013248285 |
---|---|
Provider Name | Dr. Elbert Ching |
First Address | Jamaica, NY 11432-1121 |
Second Address | Jamaica, NY 11432-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2010 |
Last Update Date | 11/09/2013 |