Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 1659011 | NY |
NPI | 1003845439 |
---|---|
Provider Name | Mr. Howard Ang |
First Address | Poughkeepsie, NY 12602 |
Second Address | Warsaw, NY 14569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01042328 | (05) | NY |