Individual
JI DONG BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD, LEVEL 2, STONY BROOK, NY 11794-7025
(631) 538-5856
Mailing address
23 SHADETREE LANE RIGHT SIDE APT, STONY BROOK, NY 11790-1831
(631) 538-5856
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
315830
NY
Other
Enumeration date
03/22/2019
Last updated
07/05/2022
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