Individual
PHILIP JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4332 22ND ST # 205-01, LONG ISLAND CITY, NY 11101-5075
(646) 796-2441
Mailing address
4332 22ND ST # 205-01, LONG ISLAND CITY, NY 11101-5075
(646) 796-2441
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005454
NY
Other
Enumeration date
11/23/2015
Last updated
08/15/2023
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