| Organization Name: | LNW MEDICAL OFFICE, PLLC |
| NPI Number: | 1720107584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE MANG (M.D.) |
| Mailing Address: | 33 Walt Whitman Rd Ste 100a Huntington Station |
| State: | NY US |
| Postal Code: | 117463631 |
| Phone Number: | 6319658166 |
| Fax Number: | 7187322062 |
| NPI Enumeration Date: | 03/29/2007 |
| 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. |