Individual
MR. JAE S CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2940 GRAND CONCOURSE, BRONX, NY 10458-2611
(347) 577-5844
Mailing address
2940 GRAND CONCOURSE, BRONX, NY 10458-2611
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006526
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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