Healthcare Provider Details

I. General information

NPI: 1427686492
Provider Name (Legal Business Name): GEORGINA ANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 66TH RD
FOREST HILLS NY
11375-2029
US

IV. Provider business mailing address

10201 66TH RD
FOREST HILLS NY
11375-2029
US

V. Phone/Fax

Practice location:
  • Phone: 718-830-4000
  • Fax:
Mailing address:
  • Phone: 718-830-4352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number331886
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: