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Individual

SHIN JA UHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3512 203RD ST, BAYSIDE, NY 11361-1122
(917) 652-1904
Mailing address
52 MACDOUGAL ST APT 2C, NEW YORK, NY 10012-2962

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006585
NY
225700000X
Massage Therapist
020107
NY

Other

Enumeration date
06/05/2021
Last updated
04/03/2024
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