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NPI Code Detail

MEDICARE: SOW FONG NG

MEDICARE:   SOW FONG  NG
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
1363A00000XPhysician Assistant021232NY
2363A00000XPhysician AssistantPA 9109055FL

General Provider Information

NPI Number : 1720434897
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOW FONG NG
Provider Business Mailing Address
First Line : 821 45TH ST STE 101
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5286
Country : US
Telephone Number : 718-972-1233
Fax Number : 718-972-1277
Provider Business Practice Location Address
First Line : 821 45TH ST STE 101
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5286
Country : US
Telephone Number : 718-972-1233
Fax Number : 718-972-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 12/16/2020

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Directions to “ SOW FONG NG ” Practice Location

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