Individual
JIWON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13702 NORTHERN BLVD APT 4D, FLUSHING, NY 11354-4173
(718) 886-8511
(718) 886-8511
Mailing address
13702 NORTHERN BLVD APT 4D, FLUSHING, NY 11354-4173
(718) 886-8511
(718) 886-8511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3343
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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