MEDICARE: NANCY KING MD

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	207Y00000X	Otolaryngology Physician	257936	NY

General Provider Information

NPI Number	:	1780819946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY KING MD

Provider Business Mailing Address
First Line	:	PO BOX 2625
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-8925
Country	:	US
Telephone Number	:	914-222-0828
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 CENTRE ST STE 203
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4553
Country	:	US
Telephone Number	:	212-202-0680
Fax Number	:	917-819-2728

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

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	02/08/2021

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Directions to “ NANCY KING MD” Practice Location

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