| Jiannan Song, MD, PHD | |
|
5645 Main St, Nyhq- Pathology Dept, Flushing, NY 11355-5045 | |
| (215) 817-6128 | |
| Not Available |
| Full Name | Jiannan Song |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 5645 Main St, Flushing, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205078318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 268019 (New York) | Primary |
| Entity Name | Newyork-presbyterian-queens |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960962 PECOS PAC ID: 7315839933 Enrollment ID: O20040329000273 |
| Entity Name | New York Queens Medicine And Surgery, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
| Entity Name | Kings Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Jiannan Song, MD, PHD 5645 Main St, Flushing, NY 11355-5045 Ph: (718) 670-1341 | Jiannan Song, MD, PHD 5645 Main St, Nyhq- Pathology Dept, Flushing, NY 11355-5045 Ph: (215) 817-6128 |
Dr. Sana Jadallah, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1341 | |
Jane Betsy Hilfer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1141 Fax: 516-437-4167 | |
Dana Jaggessarsingh, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1840 | |
Dr. Benita P Ponda, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 14055 34th Ave, 3k, Flushing, NY 11354 Phone: 718-445-6547 Fax: 718-445-6547 | |
Larisa Koifman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1341 Fax: 516-437-4167 | |
Aam Abdullahel Baqui, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1341 Fax: 516-437-4167 |