Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 233437 | NY |
N | 111NI0900X | Internist | 233437 | NY |
N | 207RG0300X | Geriatric Medicine | 233437 | NY |
NPI | 1043263395 |
---|---|
Provider Name | Jing Jiang |
First Address | Flushing, NY 11355-2442 |
Second Address | Flushing, NY 11355-2442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 08/07/2007 |