Individual
MR. DEPING SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4002 BOWNE ST, #228, FLUSHING, NY 11354-6142
(917) 929-9919
Mailing address
4002 BOWNE ST # 228, FLUSHING, NY 11354-6142
(917) 929-9919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005996
CT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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