Provider Demographics
NPI:1194287235
Name:NG MEDICAL BROOKLYN PLLC
Entity type:Organization
Organization Name:NG MEDICAL BROOKLYN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-431-4309
Mailing Address - Street 1:943 60TH ST # C1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4871
Mailing Address - Country:US
Mailing Address - Phone:212-431-4309
Mailing Address - Fax:
Practice Address - Street 1:943 60TH ST # C1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4871
Practice Address - Country:US
Practice Address - Phone:212-431-4309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY211385OtherLICENSE
1649202367OtherINDIVIDUAL NPI