Doctor Name: | GEOGE MANG |
NPI Number: | 1033299193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 188903 |
Business Practice Address: | 13302 41st Ave Flushing, NY - 113553629 |
Business Phone Number: | 7188861150 |
Business Fax Number: | 7188861185 |
Mailing Address: | Po Box 520112, FLUSHING |
State: | NY |
Postal Code: | 113520112 |
Phone Number: | 7188868180 |
Fax Number: | 7187322062 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | 188903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |