Individual
HEEBAE KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
407 PARK AVE S APT 5B, NEW YORK, NY 10016-8415
(646) 397-3398
Mailing address
407 PARK AVE S APT 5B, NEW YORK, NY 10016-8415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4278
NY
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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