Individual
MR. LEONARD TAE HOON MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 MAIN ST, HUNTINGTON, NY 11743-6987
(631) 673-2900
Mailing address
19616 58TH AVE APT 2, FRESH MEADOWS, NY 11365-2341
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007190
NY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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