Gong, Mabel
Gong, Mabel is an individual health care provider with primary practice located at 268 Canal St , New York NY 10013-3599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gong, Mabel can be contacted via phone (212) 966-0228.Contact Information
Primary practice address
268 Canal St
New York NY 10013-3599
Phone: (212) 966-0228
Fax: (212) 966-9330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 206434 | New York |
Profile Details
| NPI number | 1992794184 |
|---|---|
| LBN Legal business name | Gong, Mabel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jun 6th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992794184 | NPPES |
| New York | MEDICAID | 01887145 |
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