Individual
KACY MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1097 FOREST RD, SCHENECTADY, NY 12303-1149
(518) 881-3643
(518) 370-8346
Mailing address
1874 DODGE ST, SCHENECTADY, NY 12306-4704
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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