Individual
QIFENG REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
906 N 7TH ST, NEW HYDE PARK, NY 11040-3033
(718) 353-6788
(718) 353-6588
Mailing address
906 N 7TH ST, NEW HYDE PARK, NY 11040-3033
(718) 353-6788
(718) 353-6588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683641
NY
363L00000X
Nurse Practitioner
Primary
309209
NY
Other
Enumeration date
11/10/2015
Last updated
10/19/2020
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