Individual
JIANG HE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13357 ROOSEVELT AVE FL 1, FLUSHING, NY 11354-5254
(646) 226-4582
Mailing address
13357 ROOSEVELT AVE FL 1, FLUSHING, NY 11354-5254
(646) 226-4582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
61-1792794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1792794
HEALTH GROCERIES
—
Enumeration date
11/03/2022
Last updated
11/03/2022
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