Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 221887 | NY |
N | 208000000X | Pediatrician | 221887 | NY |
NPI | 1114906690 |
---|---|
Provider Name | Yiping Geng |
First Address | Flushing, NY 11355-3629 |
Second Address | Flushing, NY 11355-3629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02600186 | (05) | NY |