Individual
MRS. SUFEN GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC
Contact information
Practice address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
(607) 729-6434
Mailing address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
(607) 729-6434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003061
NY
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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