Provider Demographics
NPI:1225173032
Name:ENG, LILY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:W
Last Name:ENG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LILY
Other - Middle Name:W
Other - Last Name:ENG OLIVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:101 LAFAYETTE STREET
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-233-5153
Mailing Address - Fax:212-842-8042
Practice Address - Street 1:101 LAFAYETTE STREET
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-233-5153
Practice Address - Fax:212-842-8042
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0452791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice