Individual
LEN MUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 NAGLE AVE, NEW YORK, NY 10040-1406
(201) 655-5671
Mailing address
699 HAMILTON AVE, RIDGEFIELD, NJ 07657-2634
(201) 655-5671
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006234
NY
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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