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Organization
LIGHTHOUSE INTERNATIONAL
Active
Organization
LIGHTHOUSE INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY BANG-KIM (DIRECTOR)
(212) 821-9471
Entity
Organization
Contact information
Practice address
111 E 59TH ST, NEW YORK, NY 10022-1202
(212) 821-9471
Mailing address
10536 FLATLANDS 5TH ST, BROOKLYN, NY 11236-4636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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