Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 268779 | NY |
Y | 111NI0900X | Internist | 268779 | NY |
NPI | 1003106642 |
---|---|
Provider Name | Jennifer Ng |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10028-3001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 22/02/2019 |