Individual
DAIANE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
750 TILDEN ST, BRONX, NY 10467-6013
(845) 516-7218
Mailing address
750 TILDEN ST, BRONX, NY 10467-6013
(973) 634-4713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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