Individual
JIE JANE CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 622-4561
(516) 622-4551
Mailing address
PO BOX 95000-6580, PHILADELPHIA, PA 19195-6580
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
241800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02824431
—
NY
Enumeration date
01/02/2007
Last updated
10/27/2014
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