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Individual

TAE Y KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3834 PARSONS BLVD # 1A, FLUSHING, NY 11354-5843
(718) 762-3240
(718) 732-3039
Mailing address
3834 PARSONS BLVD # 1A, FLUSHING, NY 11354-5843
(718) 762-3240
(718) 732-3039

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NY

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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