Organization
JIN QIU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN QIU M.D. (PRESIDENT)
(646) 201-0268
Entity
Organization
Contact information
Practice address
141 E 55TH ST APT 4C, APT 4C, NEW YORK, NY 10022-4050
(646) 201-0268
(347) 527-9166
Mailing address
141 E 55TH ST APT 4C, APT 4C, NEW YORK, NY 10022-4050
(646) 201-0268
(347) 527-9166
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NY198620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198620
NYS
NY
01
—
25MA08299200
NJ PRACTICE LOCATION
NJ
Enumeration date
01/12/2017
Last updated
01/12/2017
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