Individual
HYO JIN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1030, NEW YORK, NY 10029-0310
(212) 241-6500
(212) 241-0065
Mailing address
510 W 123RD ST APT 22, NEW YORK, NY 10027-5004
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307323
NY
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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