Individual
MR. TAE HYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.MT, L.AC
Contact information
Practice address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(917) 224-2407
Mailing address
131 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4007
(917) 224-2407
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4102
NY
225700000X
Massage Therapist
021637
NY
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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