Individual
JING SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-6369
Mailing address
1265 15TH ST APT 16H, FORT LEE, NJ 07024-1960
(718) 920-6369
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224293
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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