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General NPI Number Information
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NPI Number | 1619553203
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Entity Type | Individual
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Provider Name | KARL K NG MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 979 ROUTE 6
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City | MAHOPAC
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State | NY
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Zip | 10541-1716
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Country | US
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Telephone | 834-230-2382
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Fax |
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Provider Business Mailing Address
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Address Line | 979 ROUTE 6
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City | MAHOPAC
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State | NY
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Zip | 10541-1716
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Country | US
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Telephone | 845-230-2382
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 331470
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License Number State | NY
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