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Organization

TRI CITY MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIN LEE (ADMINISTRATOR)
(929) 224-2588
Entity
Organization

Contact information

Practice address
5812 QUEENS BLVD # 21281, WOODSIDE, NY 11377-7765
(929) 224-2588
(917) 818-4288
Mailing address
5812 QUEENS BLVD # 21281, WOODSIDE, NY 11377-7765
(929) 224-2588
(917) 818-4288

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
02/16/2022
Last updated
05/19/2025
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