Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 266072 | NY |
NPI | 1154677128 |
---|---|
Provider Name | Dr. Nga Quynh Lai |
First Address | New York, NY 10037-1802 |
Second Address | New York, NY 10037-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2012 |
Last Update Date | 27/07/2012 |