Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 038890 | NY |
N | 225100000X | Physical Therapist | 070010850 | IL |
N | 2251G0304X | Physical Therapist - Geriatrics | 038890 | NY |
NPI | 1255586129 |
---|---|
Provider Name | Dr. Dennis Go Ng |
First Address | Medina, NY 14103-9744 |
Second Address | Buffalo, NY 14204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 11/07/2018 |