Individual
DR. SICONG REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6695
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-8366
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
219562
NY
Other
Enumeration date
10/25/2006
Last updated
02/19/2013
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