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NPI Code Detail

MEDICARE: MR. HOWARD NG LPN

MEDICARE: MR. HOWARD NG LPN
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
1164W00000XLicensed Practical Nurse278685-1NY

General Provider Information

NPI Number : 1811202914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HOWARD NG LPN
Provider Business Mailing Address
First Line : 254 JEFFERSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-1709
Country : US
Telephone Number : 718-230-3545
Fax Number :
Provider Business Practice Location Address
First Line : 155 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2213
Country : US
Telephone Number : 718-694-6756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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