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Organization
TEODORO Y. PANG M.D., P.C.
Active
Organization
TEODORO Y. PANG M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEODORO Y. PANG M.D. (PRESIDENT)
(718) 271-6554
Entity
Organization
Contact information
Practice address
9424 59TH AVE, ELMHURST, NY 11373-5151
(718) 271-6554
(718) 760-8233
Mailing address
9424 59TH AVE, ELMHURST, NY 11373-5151
(718) 271-6554
(718) 760-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640024
—
NY
Enumeration date
02/07/2007
Last updated
08/22/2020
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