Individual
ANNA PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
(718) 583-3360
Mailing address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
(718) 583-3360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
801828
NY
363LF0000X
Family Nurse Practitioner
Primary
346682
NY
Other
Enumeration date
06/29/2020
Last updated
11/25/2022
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