Individual
ALICE JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13626 37TH AVE, FLUSHING, NY 11354-6533
(718) 886-1222
Mailing address
13626 37TH AVE, FLUSHING, NY 11354-6533
(718) 886-1222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
528567
OH
163W00000X
Registered Nurse
Primary
940391
NY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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