Provider Demographics
NPI:1114906690
Name:GENG, YIPING (MD, PHD)
Entity Type:Individual
Prefix:
First Name:YIPING
Middle Name:
Last Name:GENG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13304 41ST AVE
Mailing Address - Street 2:FIRST FLOOR-A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3629
Mailing Address - Country:US
Mailing Address - Phone:718-353-7265
Mailing Address - Fax:718-353-7267
Practice Address - Street 1:13304 41ST AVE
Practice Address - Street 2:FIRST FLOOR-A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3629
Practice Address - Country:US
Practice Address - Phone:718-353-7265
Practice Address - Fax:718-353-7267
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221887208000000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02600186Medicaid