Provider Demographics
NPI:1104028067
Name:TENG, RUI ER (MD)
Entity Type:Individual
Prefix:
First Name:RUI ER
Middle Name:
Last Name:TENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RUI ER
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:66 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4216
Mailing Address - Country:US
Mailing Address - Phone:718-836-8886
Mailing Address - Fax:
Practice Address - Street 1:6805 FORT HAMILTON PKWY FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5856
Practice Address - Country:US
Practice Address - Phone:718-836-8886
Practice Address - Fax:718-836-8885
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine