Individual
NANA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3801 23RD AVE UNIT 1, ASTORIA, NY 11105-1532
(917) 810-8810
Mailing address
3544 28TH ST APT 6A, LONG ISLAND CITY, NY 11106-3230
(917) 810-8810
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006230
NY
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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