Individual
HAEYOUNG CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S MANNING BLVD STE 202, ALBANY, NY 12208-1743
(518) 435-0842
Mailing address
2 CLARICE LN, COHOES, NY 12047-4862
(801) 915-8664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308868
NY
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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