Individual
DASHI BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13620 MAPLE AVE # C901, FLUSHING, NY 11355-5166
(917) 285-2780
(917) 285-2776
Mailing address
13620 MAPLE AVE # C901, FLUSHING, NY 11355-5166
(917) 285-2780
(718) 709-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
265628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03486642
—
NY
Enumeration date
07/05/2012
Last updated
10/29/2024
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