Individual
MIAE SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
253-02 W END DR,, LITTLE NECK, NY 11362-1174
(646) 267-9332
Mailing address
55 WINDMILL CT, HUNTINGTON STATION, NY 11746-1942
(646) 267-9332
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00611
NY
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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