Healthcare Provider Details

I. General information

NPI: 1508899261
Provider Name (Legal Business Name): MOMO HLAING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROUTE 9D CASTLE POINT VA HOSPITAL
CASTLE POINT NY
12511
US

IV. Provider business mailing address

11 ADA DR
WAPPINGERS FALLS NY
12590-4931
US

V. Phone/Fax

Practice location:
  • Phone: 845-831-2000
  • Fax:
Mailing address:
  • Phone: 845-297-0816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number206380
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: