Provider Demographics
NPI:1851418933
Name:ANGIE MAN-CHI ENG,MD,PC
Entity Type:Organization
Organization Name:ANGIE MAN-CHI ENG,MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:CAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-717-4964
Mailing Address - Street 1:635 MADISON AVE
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1009
Mailing Address - Country:US
Mailing Address - Phone:212-717-4964
Mailing Address - Fax:212-717-4970
Practice Address - Street 1:635 MADISON AVE
Practice Address - Street 2:17TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:212-717-4964
Practice Address - Fax:212-717-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170925207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW30271Medicare PIN