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General NPI Number Information
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NPI Number | 1710176870
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Entity Type | Organization
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Legal Business Name | NG MEDICAL PLLC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 139 CENTRE ST STE 609
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City | NEW YORK
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State | NY
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Zip | 10013-4556
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Country | US
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Telephone | 212-431-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST SUITE 609
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City | NEW YORK
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State | NY
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Zip | 10013-4552
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Country | US
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Telephone | 212-431-4309
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ANTHONY J NG
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Credential |
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Telephone | 212-431-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 211385
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License Number State | NY
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