Individual
CHONG MIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
20615 LORI DR, #2, BAYSIDE, NY 11360-1165
(718) 358-0999
Mailing address
20615 LORI DR, #2, BAYSIDE, NY 11360-1165
(718) 358-0999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001983-1
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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