Provider Demographics
NPI:1922651785
Name:KANG, HUIJUNG
Entity Type:Individual
Prefix:
First Name:HUIJUNG
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 FRANCIS LEWIS BLVD # LL
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2461
Mailing Address - Country:US
Mailing Address - Phone:718-631-1034
Mailing Address - Fax:718-631-1035
Practice Address - Street 1:4219 FRANCIS LEWIS BLVD # LL
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2461
Practice Address - Country:US
Practice Address - Phone:718-631-1034
Practice Address - Fax:718-631-1035
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator