Pang, Peng
Pang, Peng is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-8101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Pang, Peng can be contacted via phone (631) 689-8333.Contact Information
Primary practice address
101 Nicolls Rd
Stony Brook NY 11794-8101
Phone: (631) 689-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 004071 | New York |
Profile Details
| NPI number | 1174703359 |
|---|---|
| LBN Legal business name | Pang, Peng |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Jul 18th, 2012 - about 12 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 | 1174703359 | NPPES |
| New York | Other | 004071 | NY STATE LICENSE |
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