Individual
JIANNAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5645 MAIN ST, NYHQ- PATHOLOGY DEPT, FLUSHING, NY 11355-5045
(215) 817-6128
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1341
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
268019
NY
Other
Enumeration date
04/03/2009
Last updated
06/21/2023
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