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General NPI Number Information
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NPI Number | 1538386537
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Entity Type | Organization
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Legal Business Name | SZE FONG NG MD PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 2000 N VILLAGE AVE STE 314
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1001
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Country | US
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Telephone | 516-561-6119
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Fax | 516-594-2623
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Provider Business Mailing Address
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Address Line | 4 TIMBERCREST LANE
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-1222
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Country | US
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Telephone | 516-561-6119
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Fax | 516-594-2623
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Authorized Official
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Title or Position | OWNER
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Name | DR. SZE FONG NG
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Credential | M.D.
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Telephone | 516-561-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 212900
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License Number State | NY
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