Individual
GANGLING KATIE FENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CHAPEL PL, GREAT NECK, NY 11021-1428
(516) 708-1264
Mailing address
22 CHAPEL PLACE, GREAT NECK, NY 11021
(516) 708-1264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2505904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2505904
STUDENTS WITH DISABILITIES BIRTH TO 2ND SUPPLEMENTARY CERTIFICATE
NY
Enumeration date
05/16/2014
Last updated
05/16/2014
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