Individual
DR. CHARLENE BANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
340 EAST 24 TH STREET, NEW YORK, NY 10010-4019
(212) 585-6251
(212) 585-6052
Mailing address
4610 CENTER BLVD 910, LONG ISLAND CITY, NY 11109-5855
(917) 509-5666
(917) 591-4307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014777
NY
Other
Enumeration date
02/13/2006
Last updated
10/30/2015
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