Individual
PETER JUN PEN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC
Contact information
Practice address
20 RAVINE RD, GREAT NECK, NY 11023-1712
(212) 643-2424
Mailing address
20 RAVINE RD, GREAT NECK, NY 11023-1712
(212) 643-2424
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5125
NY
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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