Individual
JIA MIN FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
13259 41ST RD, SUITE #1A & 1B, FLUSHING, NY 11355-4257
(718) 358-3535
Mailing address
13259 41ST RD, SUITE 1A &1B, FLUSHING, NY 11355-4257
(718) 358-3535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74120275900
—
NY
Enumeration date
09/14/2012
Last updated
11/13/2023
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