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Individual

ANGELA WAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 BOERUM ST, APT 9N, BROOKLYN, NY 11206-2347
(917) 685-3777
Mailing address
25 BOERUM ST, APT 9N, BROOKLYN, NY 11206-2347
(917) 685-3777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1388654
NY

Other

Enumeration date
07/27/2015
Last updated
07/27/2015
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