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1063047389
LASHANTA KANG
RIVERHEAD, NY
NPI
1063047389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345712)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
LASHANTA KANG NP
448 GRIFFING AVE
RIVERHEAD, NY 11901-3012
Phone number: 631-909-8030
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Mailing Address
LASHANTA KANG NP
448 GRIFFING AVE
RIVERHEAD, NY 11901-3012
Phone number:
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