Organization
BROOKLYN ANTI AGING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORANG KIM (PRESIDENT)
(718) 517-0665
Entity
Organization
Contact information
Practice address
745 64TH ST, BROOKLYN, NY 11220-4753
(718) 517-0665
Mailing address
745 64TH ST, BROOKLYN, NY 11220-4753
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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