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NPI Code Detail

MEDICARE: HYEN CHONG KANG

MEDICARE: HYEN CHONG KANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1538379318
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYEN CHONG KANG
Provider Business Mailing Address
First Line : 317 BLAKE ST
Second Line : APT. 65
City : NEW HAVEN
State : CT
Zip : 06515-1259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ HYEN CHONG KANG ” Practice Location

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