Individual
MIHEE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
392 N WANTAGH AVE, BETHPAGE, NY 11714-4100
(631) 949-4811
Mailing address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29844
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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