Individual
JIN QI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-5809
(315) 785-8619
Mailing address
445 FACTORY ST, PO BOX 91, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
222578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02181515
—
NY
Enumeration date
07/25/2006
Last updated
02/03/2010
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