Kathy Duong
Specialist in Staten Island, NY. Individual provider (NPI-1).
NPI number1104711399
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1104711399
- Entity type
- Individual (NPI-1)
- Name
- Kathy Duong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
208 Robinson AveStaten Island, NY 10312-6216
Phone 347-987-6941
Mailing address
208 Robinson AveStaten Island, NY 10312-6216
Phone 347-987-6941
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