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Individual

ANGELO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
37 W 32ND ST FL 4, NEW YORK, NY 10001-3866
(917) 797-7000
Mailing address
506 MARION LN, PARAMUS, NJ 07652-4722

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00156100
NJ
171100000X
Acupuncturist
Primary
6868
NY

Other

Enumeration date
10/19/2021
Last updated
11/08/2021
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