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Moonwha Kang, NP
Gerontology Nurse Practitioner in Mamaroneck, New York
NPI 1790035004

Moonwha Kang is a Gerontology Nurse Practitioner based in Mamaroneck, NY and is specialized in Gerontology. Moonwha Kang practices in Mamaroneck, NY and has the professional credentials of NP. The NPI Number for Moonwha Kang is 1790035004 and holds a License No. F305931 (New York).

The current practice location address for Moonwha Kang is 845 Palmer Ave Dept Of, Mamaroneck, NY and can be reached out via phone at 914-864-5857 and via fax at 914-864-5859.

Location: 845 Palmer Ave Dept Of, Mamaroneck, NY, 10543-2406
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Provider Profile Details
NPI Number
1790035004
Provider Name
Moonwha Kang
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
845 Palmer Ave Dept Of, Mamaroneck, NY, 10543-2406
Phone Number
914-864-5857
Fax Number
914-864-5859
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400150755 01 NY MEDICARE
03574701 05 NY
institution
Provider Business Practice Location Address Details
Address
845 Palmer Ave Dept Of
City
State
Zip
10543
Phone Number
914-864-5857
Fax Number
914-864-5859
person
Provider Business Mailing Address Details
Address
845 Palmer Ave Dept Of
City
State
Zip
10543
Phone Number
914-864-5857
Fax Number
914-864-5859
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F340829 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
F305931 (New York)
Definition
Definition to come...
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