Individual
BECKY KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13668 ROOSEVELT AVE # 4B, FLUSHING, NY 11354-5510
(718) 539-3648
Mailing address
13668 ROOSEVELT AVE # 4B, FLUSHING, NY 11354-5510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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