Individual
PAUL MINSEOK TAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8655 BROADWAY STE C4, ELMHURST, NY 11373-5868
(201) 966-7828
Mailing address
230 LEXINGTON AVE, DUMONT, NJ 07628-1734
(201) 966-7828
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005178
NY
Other
Enumeration date
12/18/2013
Last updated
11/09/2016
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