Provider Demographics
NPI:1073045878
Name:JIN FAMILY MEDICAL PLLC
Entity type:Organization
Organization Name:JIN FAMILY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-513-8656
Mailing Address - Street 1:13107 40TH RD
Mailing Address - Street 2:UNITE E18
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5116
Mailing Address - Country:US
Mailing Address - Phone:917-513-8656
Mailing Address - Fax:
Practice Address - Street 1:13107 40TH RD
Practice Address - Street 2:UNITE E18
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5116
Practice Address - Country:US
Practice Address - Phone:917-513-8656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263033261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care