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Individual

NICOLE NG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PHARM.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-5656
(212) 241-8866
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6262

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
055769
NY
207RP1001X
Pulmonary Disease Physician
Primary
297449
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
08/09/2011
Last updated
05/13/2022
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