Individual
BO SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BROADWAY FL 12, NEW YORK, NY 10010-3452
(929) 359-3648
Mailing address
1115 BROADWAY FL 12, NEW YORK, NY 10010-3452
(929) 359-3648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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