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Organization
XIANDONG SHI MD
Active
Organization
XIANDONG SHI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIANDONG SHI M.D. (PRESIDENT)
(718) 889-6368
Entity
Organization
Contact information
Practice address
13336 41ST RD, UNIT 2G, FLUSHING, NY 11355-3666
(718) 889-6368
Mailing address
13336 41ST RD, UNIT 2G, FLUSHING, NY 11355-3666
(718) 889-6368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247287
NY
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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