Individual provider · Type 1 NPI

Si M. Bong

Physician Assistant · Flushing, NY

NPI number 1366077968 Active

Practice location

3916 Prince St Ste 251
Flushing, NY 11354-5367

Mailing address

13811 63rd Ave
Flushing, NY 11367-1105

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X024591 (NY)

Physician Assistant: 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, orde…

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About NPI 1366077968

Si M. Bong's National Provider Identifier is 1366077968, issued on Mar 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Flushing, NY. The record was last updated on Mar 4, 2020.