Individual
ANGIE LEE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 WINTON RD S, ROCHESTER, NY 14618-3960
(585) 697-1557
(315) 697-5692
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 422-4855
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2516964
NY
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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