Individual
MISS SOPHIA SUHYUN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
984 N BROADWAY STE 400A, YONKERS, NY 10701-1320
(914) 329-6657
(914) 423-2378
Mailing address
2575 PALISADE AVE APT 4D, BRONX, NY 10463-6126
(347) 202-8985
(347) 202-8985
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000158
VA
171100000X
Acupuncturist
Primary
1407
NY
171100000X
Acupuncturist
25MZ00023800
NJ
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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