Individual
JONGKOO AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC,LMT
Contact information
Practice address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790
(917) 563-1824
(929) 900-1843
Mailing address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
(929) 900-1843
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003747
NY
225700000X
Massage Therapist
025164
NY
Other
Enumeration date
07/10/2012
Last updated
06/04/2019
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