Individual
NICHOLAS NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8443
(516) 663-8955
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10917700
NJ
Other
Enumeration date
06/19/2015
Last updated
09/16/2020
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