Individual
CHAOJUN SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD OF TCM
Contact information
Practice address
6933 ALDERTON ST, REGO PARK, NY 11374-5322
(646) 290-1089
Mailing address
6933 ALDERTON ST, REGO PARK, NY 11374-5322
(646) 290-1089
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001325
NY
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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