Healthcare Provider Details

I. General information

NPI: 1801094867
Provider Name (Legal Business Name): QI LING M.D, PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79-01 BROADWAY, DEPT. PSYCHIATRY, MT. SINAI/EHC
ELMHURST NY
11373
US

IV. Provider business mailing address

79-01 BROADYWAY
ELMHURST NY
11373
US

V. Phone/Fax

Practice location:
  • Phone: 718-334-4000
  • Fax: 718-334-5606
Mailing address:
  • Phone: 917-601-4995
  • Fax: 347-233-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number260960
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: