Xiandong Shi M.D.

NPI 1316124795 - Internal Medicine - 207R00000X

NPI Details
NPI 1316124795
Gender Male
Enumeration Date 01/28/2008
Last Updated 09/04/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
4160 MAIN ST UNIT 312
FLUSHING NY, 11355-3833, US
Phone (718) 865-8648
Fax (718) 799-1019
Business Location
41-60 MAIN STREET
SUIT 312
FLUSHING NY, 11355, US
Phone (718) 864-8648
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 247287
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According to our database, Dr. Xiandong Shi M.D. NPI is 1316124795, taxonomy code is 207R00000X and license number is 247287, license state is located at New York. Xiandong Shi M.D. physically located at 4160 Main St Unit 312, Flushing NY, 11355-3833. NPI Number Xiandong Shi M.D. has the Individual type.

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1316124795 NPI number is provided on an as is basis without warranty of any kind. 1316124795 is maintained by the National Plan & Provider Enumeration System. The contents of Xiandong Shi M.D. are for informational purposes only.