Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 236368-1 | NY |
N | 208D00000X | General Practice Physician | 25MA08054600 | NJ |
NPI | 1346292786 |
---|---|
Provider Name | You Guang Ding |
First Address | Englewood Cliffs, NJ 07632-2417 |
Second Address | Englewood Cliffs, NJ 07632-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 04/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0142433 | (05) | NJ |
02735248 | (05) | NY |
118257 | MEDICARE (01) | NJ |
I51771 | (02) | NY |