Organization
ACUPUNCTURE UPGRADED PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAEK WON LEE LAC (ACUPUNCTURIST)
19174829129
Entity
Organization
Contact information
Practice address
5703 224TH ST FL 2, OAKLAND GARDENS, NY 11364-2007
(917) 482-9129
Mailing address
5703 224TH ST FL 2, OAKLAND GARDENS, NY 11364-2007
(917) 482-9129
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000953
NY
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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