Provider Demographics
NPI:1184868259
Name:NGAN, VINCCI (MD)
Entity Type:Individual
Prefix:
First Name:VINCCI
Middle Name:
Last Name:NGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2422 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1125
Mailing Address - Country:US
Mailing Address - Phone:914-779-2995
Mailing Address - Fax:914-779-3266
Practice Address - Street 1:2422 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1125
Practice Address - Country:US
Practice Address - Phone:914-779-2995
Practice Address - Fax:914-779-3266
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2621342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology