Individual
ANDY LING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4322 JUDGE ST, ELMHURST, NY 11373-3458
(201) 912-1688
Mailing address
4322 JUDGE ST, ELMHURST, NY 11373-3458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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