Individual
ANNA KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14942 20TH RD, WHITESTONE, NY 11357-3604
(917) 836-9355
Mailing address
14942 20TH RD, WHITESTONE, NY 11357-3604
(917) 836-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003943
NY
Other
Enumeration date
02/21/2019
Last updated
04/08/2020
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