Organization
PRESTIGE PEDIATRIC CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN JIN MD (OWNER)
(718) 445-5437
Entity
Organization
Contact information
Practice address
14037 CHERRY AVE, APT 1A, FLUSHING, NY 11355-7818
(718) 445-5437
Mailing address
14 SARINA DR, COMMACK, NY 11725-1806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
244317
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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