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Individual

KATHLEEN PHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13743 45TH AVE, FLUSHING, NY 11355-4048
(929) 362-3006
(929) 362-3026
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
311004
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311004
LICENSE
NY
Enumeration date
04/16/2018
Last updated
06/28/2021
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