Provider Demographics
NPI:1598341513
Name:LE DING MEDICAL OFFICE PLLC
Entity Type:Organization
Organization Name:LE DING MEDICAL OFFICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LE
Authorized Official - Middle Name:
Authorized Official - Last Name:DING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-297-9000
Mailing Address - Street 1:17 GRENFELL DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1428
Mailing Address - Country:US
Mailing Address - Phone:917-297-9000
Mailing Address - Fax:
Practice Address - Street 1:849 57TH ST STE 2F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3798
Practice Address - Country:US
Practice Address - Phone:917-297-9000
Practice Address - Fax:347-696-7946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty