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NPI Code Detail

MEDICARE: DR. EVA NG PSYD

MEDICARE: DR. EVA NG PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist014422NY

General Provider Information

NPI Number : 1427011667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVA NG PSYD
Provider Business Mailing Address
First Line : 8318 4TH AVE FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4413
Country : US
Telephone Number : 718-333-5500
Fax Number :
Provider Business Practice Location Address
First Line : 8318 4TH AVE FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4413
Country : US
Telephone Number : 718-333-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 06/16/2021

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