Individual
SU HONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 GRAND AVE, BALDWIN, NY 11510-3163
(347) 256-5471
Mailing address
2270 GRAND AVE, BALDWIN, NY 11510-3163
(347) 256-5471
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006889
NY
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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