Organization
SONG HEART AND VASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SONG MD (MEDICAL DIRECTOR)
(917) 207-2650
Entity
Organization
Contact information
Practice address
13656 39TH AVE, 2ND FL, FLUSHING, NY 11354-5598
(718) 886-7575
(718) 886-7574
Mailing address
153 CHARLOTTE PL, ENGLEWOOD CLIFFS, NJ 07632-1616
(917) 207-2650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
240614
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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