Provider Demographics
NPI:1457442956
Name:DUKE, WILLIAM MENG JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MENG
Last Name:DUKE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 202ND ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1117
Mailing Address - Country:US
Mailing Address - Phone:718-224-7627
Mailing Address - Fax:718-224-7329
Practice Address - Street 1:3501 202ND ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1117
Practice Address - Country:US
Practice Address - Phone:718-224-7627
Practice Address - Fax:718-224-7329
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162537207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAETNAOther2212322
NY01727215Medicaid
NYOXFORDOtherP2124174
NYGHIOther2591018
NYHIPOther162537
NYWD053P7510OtherBLUE CROSS BLUE SHIELD
NYE36447Medicare UPIN
NYOXFORDOtherP2124174