Healthcare Provider Details

I. General information

NPI: 1508868019
Provider Name (Legal Business Name): ANDREW YING-QING DING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 COMMERCE DR
NEW ROCHELLE NY
10801-5214
US

IV. Provider business mailing address

835 HARRISTOWN RD
GLEN ROCK NJ
07452-2424
US

V. Phone/Fax

Practice location:
  • Phone: 914-637-3510
  • Fax: 914-819-0061
Mailing address:
  • Phone: 201-857-8416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number222248
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA07449600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: