Individual
SHI QI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT
Contact information
Practice address
2073 76TH STREET, FL 1, BROOKLYN, NY 11214-1349
(718) 915-8789
Mailing address
2073 76TH STREET, FL 1, BROOKLYN, NY 11214-1349
(718) 915-8789
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004718
NY
225700000X
Massage Therapist
024314
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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