Individual
JUDY W NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-4079
Mailing address
52 HINTON ST, STATEN ISLAND, NY 10312-1331
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014445-1
NY
Other
Enumeration date
11/13/2010
Last updated
01/30/2017
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