Individual
MIAE CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4711 BELL BLVD, BAYSIDE, NY 11361-3333
(718) 423-5100
Mailing address
5052 206TH ST, BAYSIDE, NY 11364-1052
(646) 675-8221
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005742
NY
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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