Individual
MS. ANGELA GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249, NEW YORK, NY 10002-7537
(212) 238-7614
(212) 238-7009
Mailing address
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249, NEW YORK, NY 10002-7537
(212) 238-7614
(212) 238-7009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016837
NY
Other
Enumeration date
07/11/2008
Last updated
07/22/2010
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