Individual
EUNKYUNG BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4 HUMMING LANE, COMMACK, NY 11725
(631) 624-0346
Mailing address
4 HUMMING LN, COMMACK, NY 11725-2512
(631) 624-0346
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5148
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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