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Individual

KEVIN NAN JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7206 NORTHERN BLVD FL 2, JACKSON HEIGHTS, NY 11372-1049
(866) 670-6824
(718) 533-1774
Mailing address
56-45 MAIN STREET, 4TH FLOOR SOUTH, NEW YORK HOSPITAL QUEENS, FLUSHING, NY 11355
(866) 670-6824

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
269139
NY

Other

Enumeration date
06/03/2008
Last updated
11/15/2023
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