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Individual

MAN NG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13618 39TH AVE STE 706, FLUSHING, NY 11354-5583
(718) 616-8866
Mailing address
1944 PROSPECT AVE, EAST MEADOW, NY 11554-3143
(917) 640-5273

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00768
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000768
LICENSE
NY
Enumeration date
06/20/2017
Last updated
08/19/2019
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