Most Relevant Information
Provider Data
NPI Number: | 1003587676 |
Provider Name: | NICHOLAS NG |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 09/23/2021 |
Last Updated: | 09/23/2021 |
Provider Practice Location
2048 FLATBUSH AVE
BROOKLYN
NY
112343521
Practice Location Phone/Fax
Phone: | 3479540938 |
Fax: | 7188786479 |
Provider Mailing Location
576 BROADHOLLOW RD
MELVILLE
NY
117475002
Provider Mailing Phone/Fax
Phone: | 6313595859 |
Fax: |