Organization
GREAT WALL MEDICAL, P.C.
Active
Other names
New York Robotic Gynecology & Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOON SONG M.D. (MEDICAL DOCTOR/C.E.O.)
(212) 481-1118
Entity
Organization
Contact information
Practice address
201E 28TH STREET, SUITE #1B, NEW YORK, NY 10016
(212) 481-1118
(212) 448-1049
Mailing address
201E 28TH STREET, SUITE #1B, NEW YORK, NY 10016
(212) 481-1118
(212) 448-1049
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02907826
—
NY
Enumeration date
01/03/2019
Last updated
01/03/2019
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