Individual
JE LIM SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY STE 504, NEW YORK, NY 10010-8144
(646) 675-3111
Mailing address
800 AVE AT PORT IMP., APT 513, WEEHAWKEN, NJ 07086-5507
(646) 675-3111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00635201
NY
171100000X
Acupuncturist
25MZ00135100
NJ
Other
Enumeration date
01/21/2019
Last updated
05/07/2026
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