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Individual

KELVIN NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
Mailing address
201 MANOR PL, GREENPORT, NY 11944-1222

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
23063
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/24/2021
Last updated
01/23/2026
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