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Individual
KI TAE MAENG
Active
Individual
KI TAE MAENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007748
NY
225100000X
Physical Therapist
Primary
025817
NY
225100000X
Physical Therapist
Primary
034739
NY
Other
Enumeration date
06/26/2008
Last updated
03/09/2026
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