Jacky Tan
Jacky Tan is an Emergency Medicine in Forest Hills, New York. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 11
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
10201 66th RdForest Hills, NY 11375-2029
Phone: (212) 420-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 293166-01 (NY) |
|---|
Record details
| NPI number | 1992190771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | April 28, 2022 |
| Certification date | April 28, 2022 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Forest Hills
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Dr. Sandeep Patel, DO
10201 66th Rd, Forest Hills, NY 11375-2029 · (718) 830-4200
-
Dr. Evan Rene Poncher, MD
102-01 66th Rd, Forest Hills, NY 11375 · (718) 830-4200
-
Dr. Justin C Popso, DO
10201 66th Rd, Forest Hills, NY 11375-2029 · (718) 830-4000
-
Dr. Yelena Sorokina-Ruffini, MD
10201 66th Rd Emergency Dept, Forest Hills, NY 11375-2029 · (718) 830-4200
-
Robert L Wighton, MD
10201 66th Rd, Forest Hills, NY 11375-2029 · (800) 376-5566
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Miroslaw Wojciula Tomaszewski, MD
10201 66th Rd, Forest Hills, NY 11375-2029 · (800) 376-5566
-
Dr. Ken Wong, MD
10201 66th Rd Dept OF Emergency Medicine, Forest Hills, NY 11375-2029 · (718) 830-4204