Individual
CARMEN KOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W 56TH ST APT 1D, NEW YORK, NY 10019-3734
(347) 522-0570
Mailing address
45 HOPE LN, STATEN ISLAND, NY 10305-3848
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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