Individual provider · Type 1 NPI
Moonwha Kang, N.P
Gerontology Nurse Practitioner · Mamaroneck, NY
NPI number
1790035004
Active
Practice location
845 Palmer Ave Dept Of
Mamaroneck, NY 10543
Fax (914) 864-5859
Other practice locations
- 462 1st Ave, 15E30, New York, NY 10016-9196 · (212) 562-6859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305931 (NY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | F340829 (NY) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1790035004
Moonwha Kang, N.P's National Provider Identifier is 1790035004, issued on Sep 13, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mamaroneck, NY. The record was last updated on Oct 17, 2018.