Individual
DR. RICHARD SONGYANG JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5072
Mailing address
306 VANDERBILT PKWY, DIX HILLS, NY 11746-5823
(631) 885-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
298980
NY
207LP3000X
Pediatric Anesthesiology Physician
298980
NY
Other
Enumeration date
04/17/2014
Last updated
08/29/2022
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