Individual
KE SHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 56TH ST, AGI MEDICAL PLLC., BROOKLYN, NY 11220-3503
(631) 377-9622
Mailing address
4601 GREENPOINT AVE, 4A, SUNNYSIDE, NY 11104-1707
(631) 377-9622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 677665
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307175
NY
Other
Enumeration date
03/05/2014
Last updated
03/02/2015
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