Individual
MS. HANNAH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-6700
Mailing address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-6700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007117
NY
171100000X
Acupuncturist
Primary
25MZ00161800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007117
LICENSE #
NY
Enumeration date
05/06/2022
Last updated
07/29/2022
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