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

Mr. Song Kao Ren

Individual provider Specialist · NPI 1366706541

Mr. Song Kao Ren is a Specialist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

7555 188th St
Fresh Meadows, NY 11366-1702
Phone: (718) 776-0909
Fax: (718) 776-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 926833853 (NY)

Record details

NPI number1366706541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012

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