Individual
JUNG TAK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4124 161ST ST APT 2A2, FLUSHING, NY 11358-4137
(646) 353-7260
Mailing address
4124 161ST ST APT 2A2, FLUSHING, NY 11358-4137
(646) 353-7260
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006405
NY
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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