Individual
MYUNG KANG ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2546 BALLTOWN RD STE 200, SCHENECTADY, NY 12309-1079
(518) 374-1444
(518) 374-0491
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F336410
NY
363LF0000X
Family Nurse Practitioner
F336412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03274953
—
NY
Enumeration date
08/10/2010
Last updated
08/31/2021
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