Individual
KIN KONG WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
33 WALT WHITMAN RD STE 100A, HUNTINGTON STATION, NY 11746-3631
(631) 271-3310
Mailing address
PO BOX 520391, FLUSHING, NY 11352-0391
(718) 886-8180
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022262
MASSAGE LICENSE
NY
Enumeration date
02/25/2011
Last updated
02/25/2011
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