Individual
JAEYOUNG MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2104 31ST ST, ASTORIA, NY 11105-2602
(718) 721-5450
(718) 721-6024
Mailing address
2104 31ST ST, ASTORIA, NY 11105-2602
(718) 721-5450
(718) 721-6024
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1443-1
NY
Other
Enumeration date
10/30/2007
Last updated
04/10/2023
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