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Organization
THG ROOSEVELT ENDOSCOPY PC
Active
Organization
THG ROOSEVELT ENDOSCOPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONG JING M.D. (PRESIDENT)
(718) 886-9819
Entity
Organization
Contact information
Practice address
13668 ROOSEVELT AVE FL 3, FLUSHING, NY 11354-5510
(718) 886-9819
Mailing address
15 OAK DR, GREAT NECK, NY 11021-1809
(718) 886-9819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
256797
NY
207R00000X
Internal Medicine Physician
Primary
256797
NY
207ZP0101X
Anatomic Pathology Physician
256797
NY
Other
Enumeration date
06/30/2016
Last updated
12/06/2017
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