Individual
DEREK ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13665 37TH AVE, FLUSHING, NY 11354-4110
(347) 899-0797
Mailing address
15314 58TH RD, FLUSHING, NY 11355-5526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023077-01
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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