Provider Demographics
NPI:1629020151
Name:ENG, RENE SHEK-MING (MD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:SHEK-MING
Last Name:ENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:217 GRAND ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4223
Mailing Address - Country:US
Mailing Address - Phone:212-941-0988
Mailing Address - Fax:212-941-0899
Practice Address - Street 1:217 GRAND ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4223
Practice Address - Country:US
Practice Address - Phone:212-941-0988
Practice Address - Fax:212-941-0899
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY181146207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01264108Medicaid
NY01264108Medicaid
NYE97217Medicare UPIN