JAE KANG

MEDFORD, NY
NPI1700902145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NY  120115)
Enumeration Date2007-03-21
Last Update Date2023-03-07
Business Address
JAE KANG
1727 N OCEAN AVE
MEDFORD, NY 11763-2649
Phone number: 631-654-1919
Mailing Address
JAE KANG
184 MONTECITO CRES
MELVILLE, NY 11747-5210
Phone number:
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