Individual
JINA BAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
90 E BARCLAY ST, HICKSVILLE, NY 11801-1302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015837
NY
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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