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General NPI Number Information
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NPI Number | 1366476939
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Entity Type | Individual
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Provider Name | LUIS C ANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 260 E 188TH ST 4TH FLOOR
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City | BRONX
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State | NY
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Zip | 10458-5302
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Country | US
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Telephone | 718-960-0444
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Fax | 718-933-8208
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Provider Business Mailing Address
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Address Line | 7004 BLVD.EAST 9M
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City | GUTTENBERG
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State | NJ
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Zip | 07093-5009
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Country | US
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Telephone | 201-869-2732
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Fax | 201-869-2732
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 169000
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License Number State | NY
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