Organization
STONY BROOK ACUPUNCTURE AND MASSAGE THERAPY PC
Active
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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