Individual
ANGELA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 3RD AVE FL 7, NEW YORK, NY 10017-6723
(212) 683-0045
Mailing address
8659 MUSKET ST, QUEENS VILLAGE, NY 11427-2717
(646) 256-1944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
07/03/2024
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