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Organization

PRO-HEALTH MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNY JIA MD (CLINIC MANAGER)
(718) 577-8863
Entity
Organization

Contact information

Practice address
4265 KISSENA BLVD #517, FLUSHING, NY 11355
(718) 577-8863
(718) 358-2806
Mailing address
4265 KISSENA BLVD #517, FLUSHING, NY 11355
(718) 577-8863
(718) 358-2806

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
003201
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
241419
NY

Other

Enumeration date
02/13/2009
Last updated
02/13/2009
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