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Kelly Bang

NPI 1164784955 · on the registry since 2012 · sole proprietor

Practice

Address
111 E 59th St
New York, NY 10022
Phone
(212) 821-9471
Fax
(212) 821-9274
Organisation at this address
Lighthouse International
Lighthouse International
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York