Most Relevant Information
Provider Data
| NPI Number: | 1003346446 |
| Provider Name: | EMMELINE MONIQUE TAN NGO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2017 |
| Last Updated: | 06/18/2017 |
Provider Practice Location
1901 1ST AVE STE 704
NEW YORK
NY
100297404
Practice Location Phone/Fax
| Phone: | 2124236771 |
| Fax: |
Provider Mailing Location
1901 1ST AVE STE 704
NEW YORK
NY
100297404
Provider Mailing Phone/Fax
| Phone: | 2124236771 |
| Fax: |