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Individual
SEONGSHIK KANG
Active
Individual
SEONGSHIK KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
002262
NY
225100000X
Physical Therapist
Primary
014833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751811
—
NY
Enumeration date
02/05/2007
Last updated
10/18/2007
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