Individual
MELISSA KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-4015
(212) 844-6332
Mailing address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201101316
NC
207RG0100X
Gastroenterology Physician
Primary
279678-1
NY
207RG0100X
Gastroenterology Physician
FK2770902
ME
Other
Enumeration date
06/26/2008
Last updated
05/24/2021
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