Provider Demographics
NPI:1629749486
Name:JING, WANQI (RD)
Entity Type:Individual
Prefix:
First Name:WANQI
Middle Name:
Last Name:JING
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 JACKSON AVE APT 35G
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3291
Mailing Address - Country:US
Mailing Address - Phone:346-717-2922
Mailing Address - Fax:
Practice Address - Street 1:2830 JACKSON AVE APT 35G
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3291
Practice Address - Country:US
Practice Address - Phone:346-717-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered