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Organization
HEA SHIN KANG PHYSICIAN P.C.
Active
Organization
HEA SHIN KANG PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEA SHIN KANG M.D. (PRESIDENT)
(718) 888-0502
Entity
Organization
Contact information
Practice address
14308 ROOSEVELT AVE, SUITE L2, FLUSHING, NY 11354-6146
(718) 888-0502
Mailing address
14308 ROOSEVELT AVE, SUITE L2, FLUSHING, NY 11354-6146
(718) 888-0502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01782865
—
NY
Enumeration date
06/08/2007
Last updated
08/23/2012
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