Individual
KENNY LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 CROSFIELD AVE, WEST NYACK, NY 10994-2226
(845) 358-2844
Mailing address
46 CONTINENTAL RD, MORRIS PLAINS, NJ 07950-3406
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
007267
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00366800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
07/17/2022
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