# LNW MEDICAL OFFICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LNW MEDICAL OFFICE, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720107584
- **Authorized official:** GEORGE MANG M.D. (M.D.)
- **Authorized official phone:** (718) 886-8386

## Contact information

- **Practice address:** 33 WALT WHITMAN RD STE 100A, HUNTINGTON STATION, NY 11746-3631
- **Practice address phone:** (631) 965-8166
- **Practice address fax:** (718) 732-2062
- **Mailing address:** 33 WALT WHITMAN RD STE 100A, HUNTINGTON STATION, NY 11746-3631
- **Mailing address phone:** (631) 965-8166
- **Mailing address fax:** (718) 732-2062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 188903 | NY | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020