Individual
MR. JAY QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
159 E 53RD ST FL 4, NEW YORK, NY 10022-4602
(646) 754-1561
Mailing address
5422 80TH ST, ELMHURST, NY 11373-4716
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4937826
DRIVERS LICENSE NUMBER
DC
Enumeration date
10/12/2022
Last updated
10/12/2022
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