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Individual

SOO YOUNG JUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1619 1ST AVE, NEW YORK, NY 10028-4304
(917) 282-5728
Mailing address
3630 208TH ST, BAYSIDE, NY 11361-1332
(917) 282-5728

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007614
NY
225700000X
Massage Therapist
032050
NY

Other

Enumeration date
12/18/2023
Last updated
11/24/2024
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