Provider Demographics
NPI:1457944290
Name:MENG, DA (PHD)
Entity Type:Individual
Prefix:DR
First Name:DA
Middle Name:
Last Name:MENG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 W 187TH ST APT 407
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1208
Mailing Address - Country:US
Mailing Address - Phone:858-337-1517
Mailing Address - Fax:
Practice Address - Street 1:736 W 187TH ST APT 407
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1208
Practice Address - Country:US
Practice Address - Phone:858-337-1517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program