Individual
JONG SIK HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 612-3946
(516) 887-8106
Mailing address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 612-3946
(516) 887-8106
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004192
NY
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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