Individual
MR. KANG TAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5732 226TH ST FL 1, BAYSIDE, NY 11364-2045
(631) 223-9491
Mailing address
5732 226TH ST FL 1, BAYSIDE, NY 11364-2045
(631) 223-9491
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006477-1
NY
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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