Individual
MABEL AYE AYE MYAING KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(646) 510-6066
Mailing address
8337 SAINT JAMES AVE, APT 4U, ELMHURST, NY 11373-3707
(646) 510-6066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2009-0757
NM
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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