Individual
KYUNGKU YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360A W MERRICK RD, VALLEY STREAM, NY 11580-5354
(516) 872-3479
Mailing address
93 WOOD LN, VALLEY STREAM, NY 11581-2647
(347) 244-3130
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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