GEOGE MANG (NPI# 1033299193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033299193 |
Entity Type | Individual |
Full Name | GEOGE MANG |
Credential | M.D. |
Practice Address |
13302 41st Ave Flushing NY 11355-3629 |
Mailing Address |
Po Box 520112 Flushing NY 11352-0112 |
Practice Telephone | 7188861150 |
Practice Fax Number | 7188861185 |
Mailing Telephone | 7188868180 |
Mailing Fax Number | 7187322062 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 188903 | NY | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01663538 | 05 |
Street Address |
13302 41ST AVE |
City | FLUSHING |
State | NY |
Zip Code | 11355-3629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841784733 | Wellsure Medical Practice P.C. | Internal Medicine | 13302 41st Ave, Flushing, NY 11355-5874 | 2018-06-14 |
1831531524 | Kai Jing Mai Od Pllc | Optometrist | 13302 41st Ave, Suite B, Flushing, NY 11355-5874 | 2013-07-23 |
1245562958 | Janice Wu | Pharmacist | 13302 41st Ave, Flushing, NY 11355-5874 | 2010-02-04 |
1669643359 | Triboro Care Pt PC | Specialist | 13302 41st Ave, Flushing, NY 11355-5848 | 2008-03-20 |
1871764118 | Triboro Care Pt PC | Specialist | 13302 41st Ave, Flushing, NY 11355-5848 | 2008-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
Find all providers in zip 11355 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
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. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831467935 | Tili Medical Office Pllc | Medical Genetics, Ph.D. Medical Genetics | 5830 Main St Fl 1, Flushing, NY 11355-5336 | 2011-12-05 |
1174777411 | Franklin Lee | Medical Genetics, Ph.D. Medical Genetics | 13604 Northern Blvd Ste Cu3, Flushing, NY 11354-6515 | 2008-11-13 |
1598926354 | W.liang's Medical Office | Medical Genetics, Ph.D. Medical Genetics | 13302 41st Ave Apt 1f, Flushing, NY 11355-5848 | 2008-06-24 |
1144307927 | Yuqing Chen | Medical Genetics, Ph.D. Medical Genetics | 3907 Prince St Ste 2d, Flushing, NY 11354-5321 | 2006-11-01 |
1104901529 | L & Y Medical Associate, P.C. | Medical Genetics, Ph.D. Medical Genetics | 3609 Main St Ste 202, Flushing, NY 11354-6502 | 2006-10-25 |
1467603217 | Hua Ding Physician Pllc | Medical Genetics, Ph.D. Medical Genetics | 13620 38th Ave, Suite 6d, Flushing, NY 11354-4233 | 2008-10-09 |
1982890356 | Lnw Medical Office, Pllc | Medical Genetics, Ph.D. Medical Genetics | 3609 Main St Ste 202, Flushing, NY 11354-6502 | 2007-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245896695 | Paul Soloway | Medical Genetics, Ph.D. Medical Genetics | 327 The Pkwy, Ithaca, NY 14850-2275 | 2019-05-11 |
1376908418 | Robert Miller | Medical Genetics, Ph.D. Medical Genetics | 213 Glen St, Glen Cove, NY 11542-2734 | 2015-12-16 |
1629393608 | Zahra Fayzi | Medical Genetics, Ph.D. Medical Genetics | 8940 Galway Ter, Clarence Center, NY 14032-9400 | 2010-04-01 |
1982931218 | Interpublic Medical PC | Medical Genetics, Ph.D. Medical Genetics | 1005 Richmond Rd, Staten Island, NY 10304-2413 | 2009-11-06 |
1174664643 | Lnw Medical Office, Pllc | Medical Genetics, Ph.D. Medical Genetics | 33 Walt Whitman Rd Ste 100a, Huntington Station, NY 11746-3631 | 2007-02-09 |
1639216476 | North Suffolk Medical Associates, P.C. | Medical Genetics, Ph.D. Medical Genetics | 1019 Fort Salonga Rd Ste 101, Northport, NY 11768-2270 | 2007-01-31 |
1568533917 | Thomas C Shanahan | Medical Genetics, Ph.D. Medical Genetics | 110 Broadway St, Buffalo, NY 14203-1630 | 2006-11-09 |
1689756827 | Kevin L Lowe | Medical Genetics, Ph.D. Medical Genetics | 19021 Dormans Rd, Saint Albans, NY 11412-2622 | 2006-10-19 |
1528082971 | Panamerican Medical Services P.C. | Medical Genetics, Ph.D. Medical Genetics | 9511 99th Ave, Ozone Park, NY 11416-2515 | 2006-07-27 |
1518987429 | Ira R. Hoffman Md and Murray R. Rogers, Md PC | Medical Genetics, Ph.D. Medical Genetics | 122 East 76th Street, #1c, New York, NY 10021-2833 | 2006-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.