Individual
JAE WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
265 POST AVE STE 280, WESTBURY, NY 11590-2235
(516) 500-8281
Mailing address
265 POST AVE STE 280, WESTBURY, NY 11590-2235
(516) 500-8281
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007546
NY
Other
Enumeration date
06/14/2024
Last updated
03/05/2025
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