MEDICARE: BING JI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	089569	NY
2	1041C0700X	Clinical Social Worker	087028-1	NY

General Provider Information

NPI Number	:	1336572783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BING JI

Provider Business Mailing Address
First Line	:	184 ELDRIDGE ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-2992
Country	:	US
Telephone Number	:	212-453-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	184 ELDRIDGE ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-2992
Country	:	US
Telephone Number	:	212-453-4542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	12/13/2018

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Directions to “ BING JI ” Practice Location

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