Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | NY158250 | NY |
NPI | 1063586006 |
---|---|
Provider Name | Jih-Lih Chiang |
First Address | Great Neck, NY 11021 |
Second Address | Flushing, NY 11354-4233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 05/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00852286 | (05) | NY |
C67023 | (02) |