Individual
CHRISTIANA KANGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18718 89TH AVE, HOLLIS, NY 11423-1818
(347) 463-1508
Mailing address
18718 89TH AVE, HOLLIS, NY 11423-1818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339963-01
NY
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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