Individual
BI TAO B NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 60TH ST, BROOKLYN, NY 11219-5018
(718) 686-5948
Mailing address
2179 65TH ST APT 5A, BROOKLYN, NY 11204-3954
(917) 232-7737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
785257
NY
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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