Individual
MALUAN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 TROY AVE APT 5M, BROOKLYN, NY 11234-3629
(347) 486-0358
Mailing address
2239 TROY AVE APT 5M, BROOKLYN, NY 11234-3629
(347) 486-0358
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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