Individual
DR. JIN QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
141 E 55TH ST STE 4C, NEW YORK, NY 10022-4050
(212) 758-8851
(347) 527-9166
Mailing address
141 E 55TH ST, SUITE # 10A, NEW YORK, NY 10022-4034
(212) 758-8851
(347) 527-9166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
198620
NY
207Q00000X
Family Medicine Physician
25MA08299200
NJ
208D00000X
General Practice Physician
NY198620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134098707
TAX ID
NY
01
—
198620
NYS
NY
01
—
25MA08299200
NJ PRACTICE LOCATION
NJ
Enumeration date
11/02/2006
Last updated
01/18/2019
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