Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Song, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164276259

Justin Song, DO is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

56-45 Main St
Flushing, NY 11355
Phone: (718) 670-1507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164276259
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address56-45 Main St, Fl 5, Flushing, NY 11355

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