SI M BONG


Address: 3916 Prince St Ste 251, Flushing, NY 11354-5367
Phone: 7188863877

SI M BONG (NPI# 1366077968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366077968
Entity Type Individual
Full Name SI M BONG
Practice Address 3916 Prince St Ste 251
Flushing
NY 11354-5367
Mailing Address 13811 63rd Ave
Flushing
NY 11367-1105
Practice Telephone 7188863877
Enumeration Date 2020-03-04
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 024591 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3916 PRINCE ST STE 251
City FLUSHING
State NY
Zip Code 11354-5367

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699388157 Laeana Rodriguez Speech-Language Pathologist 30-04 146th St, Flushing, NY 11354 2020-08-25
1508402413 United Community Anesthesia Care Pllc Anesthesiology 3636 Maint St, 1s, Flushing, NY 11354 2019-11-26
1922658087 Xiaoyan Fei Social Worker Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 2019-09-19
1235797655 Life Improvement Homecare, Inc. Durable Medical Equipment & Medical Supplies 38-08 Union Street, Suite 2j, Flushing, NY 11354 2019-05-31
1497214985 Justin Young Lee Registered Nurse 143-23 38th Ave, Apt 2c, Flushing, NY 11354 2019-03-14
1669930962 Jacqueline Nicole Liu Student in an Organized Health Care Education/Training Program 29-30 138th Street, Apartment 3f, Flushing, NY 11354 2019-03-05
1275003378 Janet Poon Pharmacist 35-19 Leavitt St., #51, Flushing, NY 11354 2018-11-30
1659856490 Xiaohui Wang Medical Pllc Obstetrics & Gynecology 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 2018-09-27
1063990687 Harmony Care Physical Therapy PC Clinic/Center 35-05 Farrington Street, Ste A, Flushing, NY 11354 2018-08-06
1356827604 Theresa S Cheung Nurse Practitioner 39-07 Prince St, Ste 3h, Flushing, NY 11354 2018-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225642598 Sarah Hyunji Bae Physician Assistant 4003 164th St, Flushing, NY 11358-2750 2020-09-03
1427668961 Madina Baki Physician Assistant 14719 Delaware Ave, Flushing, NY 11355-1703 2020-08-07
1255940961 Aliza Ginzberg Physician Assistant 13824 77th Ave Apt A, Flushing, NY 11367-2846 2020-07-28
1407475189 Shivani Daryani Physician Assistant 4323 Colden St Apt 22a, Flushing, NY 11355-5929 2020-04-13
1477183978 Samantha Lau Physician Assistant 13640 39th Ave Ste 6gb, Flushing, NY 11354-5536 2020-01-23
1982249959 Chana Devora Levine Physician Assistant 14449 72nd Rd, Flushing, NY 11367-2405 2019-11-13
1629612734 Shiran Ibragimov Physician Assistant 15064 77th Rd, Flushing, NY 11367-3423 2019-10-31
1932741402 Tara Sung Physician Assistant 14446 26th Ave Apt 2, Flushing, NY 11354-1327 2019-10-16
1982253084 Michelle Yunrui Luo Physician Assistant 13347 Sanford Ave Ste 1d, Flushing, NY 11355-5816 2019-09-10
1144796335 Quanjian Yan Physician Assistant 6709 Bell Blvd, Flushing, NY 11364-2525 2018-10-16
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Competitor

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City FLUSHING
Zip Code 11354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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