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KOUSILLA CHEUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
628 MARY ST # A, UTICA, NY 13501-2419
(315) 272-2600
Mailing address
418 BROADWAY STE N, ALBANY, NY 12207-2922

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405186
NY

Other

Enumeration date
08/25/2023
Last updated
09/04/2025
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