Individual
JIN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 751-3000
(631) 751-0506
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
322378
NY
Other
Enumeration date
03/23/2017
Last updated
07/18/2023
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