Individual
KINLEY WANGCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4536 50TH ST, WOODSIDE, NY 11377-5445
(917) 832-3057
Mailing address
4536 50TH ST, WOODSIDE, NY 11377-5445
(917) 832-3057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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