Individual
MS. MYUNG SUG JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 W 97TH ST APT 13A, NEW YORK, NY 10025-9237
(917) 216-4411
Mailing address
160 W 97TH ST APT 13A, NEW YORK, NY 10025-9237
(917) 216-4411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028928
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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