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Individual

JIANAN QIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
56-45 MAIN STREET, CRT SURGICAL ASSOCIATES, PC, FLUSHING, NY 11355-5045
(718) 670-1185
(718) 670-2313
Mailing address
56-45 MAIN STREET, CRT SURGICAL ASSOCIATES, PC, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009920
NY

Other

Enumeration date
06/07/2006
Last updated
12/20/2022
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