Individual
CAROL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136-75 37TH AVE #8E, FLUSHING, NY 11354
(929) 216-7979
Mailing address
136-75 37TH AVE #8E, FLUSHING, NY 11354
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4708
NY
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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