Individual
DR. TEODORO Y. PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 WOODBURY RD, HICKSVILLE, NY 11801-3018
(516) 931-1978
(516) 932-1475
Mailing address
176 WOODBURY ROAD, SUITE 1, HICKSVILLE, NY 11801-3508
(516) 931-1978
(516) 932-1475
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
126797
NY
Other
Enumeration date
11/16/2006
Last updated
05/09/2012
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