Provider Demographics
NPI:1992014765
Name:NGAI, LILLIAN LING (MS, RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:LING
Last Name:NGAI
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61-36, 170TH STREET
Mailing Address - Street 2:APT. 3 G
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1975
Mailing Address - Country:US
Mailing Address - Phone:718-353-9979
Mailing Address - Fax:718-353-9979
Practice Address - Street 1:61-36, 170TH STREET
Practice Address - Street 2:APT. 3 G
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1975
Practice Address - Country:US
Practice Address - Phone:718-353-9979
Practice Address - Fax:718-353-9979
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000701-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered