Organization
KJ ACU & HERBS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEE (ACUPUNTURIST)
(646) 670-8155
Entity
Organization
Contact information
Practice address
6432 224TH ST, OAKLAND GARDENS, NY 11364-2318
(646) 670-8155
Mailing address
6432 224TH ST, OAKLAND GARDENS, NY 11364-2318
(646) 670-8155
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MZ00080100
NJ
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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