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Individual

MICHELLE MIN RONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
323 E MIDDLE COUNTRY RD STE 3, SMITHTOWN, NY 11787-2822
(631) 780-5511
(631) 780-5512
Mailing address
323 E MIDDLE COUNTRY RD STE 3, SMITHTOWN, NY 11787-2822
(631) 780-5511
(631) 780-5512

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000919
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
698653218
171100000X
NY
Enumeration date
10/03/2022
Last updated
10/03/2022
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