Individual
JENA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8914
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8914
(516) 734-8733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
305086
NY
207RH0003X
Hematology & Oncology Physician
305086
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
305086
NY
Other
Enumeration date
03/28/2016
Last updated
06/16/2025
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