Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD463890 | PA |
N | 207Q00000X | Family Doctor | MT208517 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 300074 | NY |
NPI | 1003297102 |
---|---|
Provider Name | Marcus Ng |
First Address | Manhasset, NY 11030-3876 |
Second Address | Garden City, NY 11530-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 16/08/2019 |