Individual
BOMAEN FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 GRAND ST STE 403B, NEW YORK, NY 10013-4241
(917) 518-0892
Mailing address
5259 79TH ST, ELMHURST, NY 11373-4156
(917) 518-0892
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
03081
NY
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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