Individual
DOREEN SANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 PACIFIC AVE, DEER PARK, NY 11729-3140
(631) 398-8184
Mailing address
96 PACIFIC AVE, DEER PARK, NY 11729-3140
(631) 398-8184
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305619-1
NY
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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