Provider Demographics
NPI:1972605350
Name:NGO, NHU THI (MD)
Entity Type:Individual
Prefix:DR
First Name:NHU
Middle Name:THI
Last Name:NGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BAONHU
Other - Middle Name:THI
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:225 15TH ST
Mailing Address - Street 2:APT. 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4914
Mailing Address - Country:US
Mailing Address - Phone:860-214-4561
Mailing Address - Fax:
Practice Address - Street 1:506 SIXTH STREET
Practice Address - Street 2:NY METHODIST - PATHOLOGY DEPT. - CARRINGTON FLOOR 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-3634
Practice Address - Fax:718-780-3673
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040466207ZP0102X
NY220631-1207ZP0102X
RIMD 14102207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001404665Medicaid
CT001404665Medicaid
H58324Medicare UPIN