Provider Demographics
NPI:1710581194
Name:NG, LAI YEE (RN)
Entity Type:Individual
Prefix:
First Name:LAI YEE
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10239 NICOLLS AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2815
Mailing Address - Country:US
Mailing Address - Phone:646-209-6465
Mailing Address - Fax:
Practice Address - Street 1:10239 NICOLLS AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2815
Practice Address - Country:US
Practice Address - Phone:646-209-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY767882-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse