Organization
STONY BROOK ACUPUNCTURE AND MASSAGE THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONGKOO AHN LAC, MT (PROVIDER)
(917) 563-1824
Entity
Organization
Contact information
Practice address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
(929) 900-1843
Mailing address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
(929) 900-1843
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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