Individual
ELISABETH M BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14424 37TH AVE, FLUSHING, NY 11354-5941
(516) 477-4644
Mailing address
3219 170TH ST, FLUSHING, NY 11358-1533
(516) 477-4644
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P11339
NY
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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