Individual
MS. CAROLINE LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1065954
NY
363A00000X
Physician Assistant
Primary
023295
NY
Other
Enumeration date
08/09/2013
Last updated
03/12/2019
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