Individual
MISS DEQIONG KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROOSEVELT AVE, SUITE #300, SYOSSET, NY 11791-3064
(516) 496-4460
Mailing address
9822 63RD DR, APT #2A, REGO PARK, NY 11374-2339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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