Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri City Medical PC

Organization Gastroenterology Physician · NPI 1639824816

Tri City Medical PC provides Gastroenterology Physician services in Woodside, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5812 Queens Blvd # 21281
Woodside, NY 11377-7765
Phone: (929) 224-2588
Fax: (917) 818-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1639824816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jin Lee — Administrator · (929) 224-2588
NPI enumeratedFebruary 16, 2022
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address5812 Queens Blvd # 21281, Woodside, NY 11377-7765

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