Organization
LNW MEDICAL OFFICE, PLLC
Active
Other names
LNW MEDICAL OFFICE, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MANG M.D. (M.D.)
(718) 886-8386
Entity
Organization
Contact information
Practice address
33 WALT WHITMAN RD STE 100A, HUNTINGTON STATION, NY 11746-3631
(631) 965-8166
(718) 732-2062
Mailing address
33 WALT WHITMAN RD STE 100A, HUNTINGTON STATION, NY 11746-3631
(631) 965-8166
(718) 732-2062
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
188903
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01663538
—
NY
Enumeration date
03/29/2007
Last updated
08/22/2020
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