Individual
CHARMAINE TINGYAN PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 GRAND ST, NEW YORK, NY 10002-4379
(212) 254-7300
Mailing address
970 GATES AVE APT 1A, BROOKLYN, NY 11221-7871
(405) 875-1758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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