Geoge Mang
Medical Geneticist
13302 41st Ave
Flushing
, New York 11355-3629
Geoge Mang
Medical Geneticist
13302 41st Ave
Flushing
, New York 11355-3629
(718) 732-2062
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Geoge Mang
- Po Box 520112
- Flushing, NY
- Zip : 11352-0112
- Fax : (718) 732-2062
- Phone : (718) 886-8180
Second Address
- Geoge Mang
- 13302 41st Ave
- Flushing, NY
- Zip : 11355-3629
- Fax : (718) 886-1185
- Phone : (718) 886-1150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 188903 | NY |
National Provider Identifier
| NPI | 1033299193 |
|---|---|
| Provider Name | Geoge Mang |
| First Address | Flushing, NY 11352-0112 |
| Second Address | Flushing, NY 11355-3629 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01663538 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.