Provider Demographics
NPI:1336413269
Name:NG, MAY (PA)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2678 SOUTH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5254
Mailing Address - Country:US
Mailing Address - Phone:845-790-5700
Mailing Address - Fax:845-790-5719
Practice Address - Street 1:1 COLUMBIA ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3923
Practice Address - Country:US
Practice Address - Phone:845-454-4700
Practice Address - Fax:845-790-5719
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2018-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY10307363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant