Individual
ANNIE KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 ROBERT PITT DR, SUITE 110, MONSEY, NY 10952-3373
(845) 625-2810
Mailing address
318 ARLINGTON CT, BARDONIA, NY 10954-1651
(845) 625-2810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015244
NY
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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