Individual
SOPHIA CHUNYUN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
600 NORTHERN BLVD, SUITE 109, GREAT NECK, NY 11021-5206
(516) 543-3518
Mailing address
125 HADDON RD, NEW HYDE PARK, NY 11040-1740
(516) 376-2130
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004722
NY
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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