Peng Pang in Stony Brook - Child & Adolescent Psychiatry

Peng Pang - NPI 1174703359

Peng Pang is a Child & Adolescent Psychiatry in Stony Brook, New York. Peng Pang practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Peng Pang is 1174703359. The last update date is 2012-07-18.

Peng Pang's current location address is 101 Nicolls Rd, Stony Brook, New York. You can contact this provider via phone number 6316898333. The mailing address for Peng Pang is 101 Nicolls Rd, Stony Brook, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Peng Pang
Address 101 Nicolls Rd, Stony Brook, New York
Phone Number 6316898333
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174703359
Provider Enumeration Date 2007-11-06
Last Updated Date 2012-07-18

Provider Mailing Address Detail

Address 101 Nicolls Rd
City Stony Brook
State New York (NY)
Post Code 117948101
Phone Number 6316898333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 4071
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4071 NY NY STATE LICENSE

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FAQs about Peng Pang

What is the unique 10-digit identification code assigned to Peng Pang by the Centers for Medicare & Medicaid Services?

The Peng Pang has been issued the NPI (National Provider Identifier) 1174703359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Peng Pang's facilities are geographically located?

The facilities of Peng Pang are physically situated at the following location: 101 Nicolls Rd, Stony Brook, NY, 117948101.

What is the area of specialization for Peng Pang, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peng Pang is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.

On what date did Peng Pang receive its 1174703359 assignment from the Centers for Medicare & Medicaid Services?

The Peng Pang was assigned its 1174703359 on 2007-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Peng Pang most recently updated or revised?

The details related to Peng Pang, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-18.

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