Individual
MR. SEUNG GON SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
32 CAMPUS DR., MISSOULA, MT 58981
(917) 640-4213
Mailing address
135-25F 79TH STREET, MEDICAL NOW, SUITE 2A, HOWARD BEACH, NY 11414
(718) 296-3600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
02/21/2023
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