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Contact Information

JENNIFER TOM
18938 46TH RD
FLUSHING, NY11358-3421
 Phone: 718-309-1340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER TOM · (Female)

NPI # 1972958064
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2016
Last updated 06/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 298167
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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