Individual
SUHYUN AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
Mailing address
6700 192ND ST APT 412, FRESH MEADOWS, NY 11365-3735
(917) 915-1138
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003744
NY
225700000X
Massage Therapist
029405
NY
Other
Enumeration date
03/20/2013
Last updated
06/24/2019
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