Provider Demographics
NPI:1184629503
Name:ROBERTS, BINGJING Z (MD)
Entity Type:Individual
Prefix:DR
First Name:BINGJING
Middle Name:Z
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:185 CANAL ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4537
Mailing Address - Country:US
Mailing Address - Phone:212-219-7786
Mailing Address - Fax:212-219-0078
Practice Address - Street 1:185 CANAL ST
Practice Address - Street 2:SUITE 306
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4537
Practice Address - Country:US
Practice Address - Phone:212-219-7786
Practice Address - Fax:212-219-0078
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY231429-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02657789Medicaid
NYI31325Medicare UPIN
NY02657789Medicaid