Organization
NY WHITE TIGER ACUPUNCTURE PC
Active
Organization
NY WHITE TIGER ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BACKHO KIM LAC (PRESIDENT)
(347) 507-0642
Entity
Organization
Contact information
Practice address
6019 ROOSEVELT AVE STE 221, WOODSIDE, NY 11377-4375
(347) 507-0642
Mailing address
6019 ROOSEVELT AVE STE 221, WOODSIDE, NY 11377-4375
(347) 507-0642
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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