Individual
PENG PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
347 5TH AVE, NEW YORK, NY 10016-5010
(718) 715-6309
Mailing address
347 5TH AVE RM 1507, NEW YORK, NY 10016-5049
(718) 715-6309
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
247885
NY
Other
Enumeration date
11/06/2007
Last updated
01/24/2025
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