Individual
STEPHANIE RAINE YEE LOONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6141 62ND AVE, MIDDLE VILLAGE, NY 11379-1008
(720) 233-7741
Mailing address
6043 68TH AVE, RIDGEWOOD, NY 11385-4543
(720) 233-7741
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005458-1
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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