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Individual

MR. IN HO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
4678 HANFORD ST, DOUGLASTON, NY 11362-1032
(212) 203-0072
Mailing address
4678 HANFORD ST, DOUGLASTON, NY 11362-1032
(212) 203-0072

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004881-1
NY

Other

Enumeration date
11/04/2014
Last updated
04/12/2022
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