Individual
EDERLIZA GALANG CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6196
(516) 608-2889
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6196
(516) 608-2889
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231121
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
231121
NY
208VP0000X
Pain Medicine Physician
231121
NY
Other
Enumeration date
10/16/2006
Last updated
11/07/2009
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