Individual
JAN Y TING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8045 WINCHESTER BLVD, BLDG 40, UNIT 3A, QUEENS VILLAGE, NY 11427-2193
(718) 264-4431
Mailing address
8008 232ND ST, QUEENS VILLAGE, NY 11427-2110
(718) 468-7973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
181101
NY
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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