MEDICARE: DR. STANLEY NG M.D.

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
1	207R00000X	Internal Medicine Physician	163295	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000397400101	OTHER	NY	HEALTHPLUS
2	061214000158	OTHER	NY	FIDELISCARE
3	061214000158	OTHER	NY	CENTERCARE
4	326901	OTHER	NY	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	2589330	OTHER	NY	GHI
7	P765359	OTHER	NY	OXFORD
8	364AT1	OTHER	NY	EMPIRE BLUE CROSS
9	0411972	OTHER	NY	UNITED HEALTHCARE
10	163295	OTHER	NY	HEALTHFIRST
11	16329501	OTHER	NY	NEIGHBORHOOD HEALTH PROV
12	16329560NY	OTHER	NY	1199
13	56255408100	OTHER	NY	TOUCHSTONE

General Provider Information

NPI Number	:	1760671317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY NG M.D.

Provider Business Mailing Address
First Line	:	191 CANAL ST
Second Line	:	SUITE 601
City	:	NEW YORK
State	:	NY
Zip	:	10013-4524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	191 CANAL ST
Second Line	:	SUITE 601
City	:	NEW YORK
State	:	NY
Zip	:	10013-4524
Country	:	US
Telephone Number	:	212-925-3224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

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Directions to “ DR. STANLEY NG M.D.” Practice Location

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