MEDICARE: TINA Q HE MD

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	174400000X	Specialist	220066	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831134717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA Q HE MD

Provider Business Mailing Address
First Line	:	PO BOX 2625
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-8925
Country	:	US
Telephone Number	:	212-202-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 CENTRE ST
Second Line	:	STE 203
City	:	NEW YORK
State	:	NY
Zip	:	10013-4553
Country	:	US
Telephone Number	:	212-202-0680
Fax Number	:

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	02/21/2024

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Directions to “ TINA Q HE MD” Practice Location

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