# JACKSON HEIGHT MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427691088
- **Authorized official:** MR. FENG WANG (BUSINESS MANAGER)
- **Authorized official phone:** (718) 806-1434

## Contact information

- **Practice address:** 34-29 83RD STREET, JACKSON HEIGHTS, NY 11372-3054
- **Practice address phone:** (718) 424-7801
- **Practice address fax:** (718) 424-0888
- **Mailing address:** 6511 BOOTH STREET SUITE 1C, REGO PARK, NY 11374-4184
- **Mailing address phone:** (718) 424-7801
- **Mailing address fax:** (718) 424-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 12/12/2019