Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 018782 | NY |
NPI | 1043527955 |
---|---|
Provider Name | Angela Kang |
First Address | Bronx, NY 10466-5036 |
Second Address | New York, NY 10011-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2010 |
Last Update Date | 10/06/2020 |