Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 218544 | NY |
Y | 208600000X | Surgeon | 218544 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 218544 | NY |
NPI | 1124094917 |
---|---|
Provider Name | Jess Ting |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 26/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02168596 | (05) | NY |
H43476 | (02) |