Individual
ANDER PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 W 54TH ST, NEW YORK, NY 10019-5539
(646) 801-8494
Mailing address
260 W 54TH ST APT 11J, NEW YORK, NY 10019-5540
(646) 801-8494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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