Provider Demographics
NPI:1912329467
Name:KINGS MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:KINGS MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LIJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:WENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-469-4222
Mailing Address - Street 1:1847 UTICA AVE
Mailing Address - Street 2:1ST FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2122
Mailing Address - Country:US
Mailing Address - Phone:718-469-4222
Mailing Address - Fax:
Practice Address - Street 1:1847 UTICA AVE
Practice Address - Street 2:1ST FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2122
Practice Address - Country:US
Practice Address - Phone:718-469-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232264207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty