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Individual

KONAN CHIANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
225 DOLSON AVE, SUITE 301, MIDDLETOWN, NY 10940-6569
(845) 342-6464
(845) 342-6463
Mailing address
14 BRISTOL DR, MIDDLETOWN, NY 10941-5206
(845) 695-1291
(845) 342-6463

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
194135
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01651798
NY
Enumeration date
07/28/2005
Last updated
05/31/2012
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