Individual
DR. MICHELLE LEONG NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4505 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3042
(718) 279-0900
Mailing address
465 MAIN ST APT 10A, NEW YORK, NY 10044-0185
(917) 363-1436
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797744
—
NY
Enumeration date
03/02/2007
Last updated
07/08/2007
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