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Individual

DR. NKANGA NKANGA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
78 CROMWELL AVE, STATEN ISLAND, NY 10304-3933
(718) 351-3388
Mailing address
7880 CROMWELL AVE, STATEN ISLAND, NY 10304
(718) 351-3388

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
192799
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06152217
NY
Enumeration date
05/26/2006
Last updated
07/08/2007
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