Provider Demographics
NPI:1972928844
Name:NG, MEI
Entity Type:Individual
Prefix:MS
First Name:MEI
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MEI
Other - Middle Name:
Other - Last Name:NG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LP
Mailing Address - Street 1:15 SHERIDAN SQ FRNT A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-6847
Mailing Address - Country:US
Mailing Address - Phone:646-250-0444
Mailing Address - Fax:
Practice Address - Street 1:15 SHERIDAN SQ FRNT A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-6847
Practice Address - Country:US
Practice Address - Phone:646-250-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000915-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst