Individual
KYRA BRENT ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8728 BAY 16TH ST, APT. 2B, BROOKLYN, NY 11214-4516
(917) 288-8482
Mailing address
8728 BAY 16TH ST, APT. 2B, BROOKLYN, NY 11214-4516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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