Individual
STEPHEN W KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN
Contact information
Practice address
13605 SANFORD AVE APT 1M, FLUSHING, NY 11355-3118
(646) 229-3563
Mailing address
14606 HOLLY AVE, FLUSHING, NY 11355-2247
(646) 229-3563
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001274
NY
Other
Enumeration date
09/23/2011
Last updated
11/21/2023
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