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Individual

DR. CONGZHEN OU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 E BROADWAY, STE 105, NEW YORK, NY 10038-1073
(212) 248-0850
Mailing address
4370 KISSENA BLVD, STE 1J, FLUSHING, NY 11355-3769
(212) 248-0850

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208613
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02120969
NY
Enumeration date
08/25/2006
Last updated
07/08/2007
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