Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 224889 | NY |
N | 208000000X | Pediatrician | 61319 | CT |
N | 2084N0402X | Child Neurologist | 224889 | NY |
N | 2084N0402X | Child Neurologist | 25MA10431700 | NJ |
Y | 2084N0402X | Child Neurologist | 61319 | CT |
N | 2084N0402X | Child Neurologist | MD464775 | PA |
N | 2084N0600X | Clinical Neurophysiologist | 224889 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 61319 | CT |
NPI | 1144336637 |
---|---|
Provider Name | Dr. Elizabeth Ann Ng |
First Address | Hartford, CT 06106-1976 |
Second Address | Farmington, CT 06032-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02473307 | (05) | NY |
1144336637 | (05) | CT |