Individual
DR. KANGMEI LIEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4422 3RD AVE, BREAKER BUILDING - ROOM 407, BRONX, NY 10457-2545
(718) 960-6240
(718) 960-6125
Mailing address
3636 GREYSTONE AVE, 2C, BRONX, NY 10463-2018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2392
TX
Other
Enumeration date
02/19/2014
Last updated
07/26/2019
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