Individual
JAY KYU RIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC LMT
Contact information
Practice address
80 8TH AVE, SUITE 1304, NEW YORK, NY 10011-5126
(347) 620-6206
Mailing address
4915 BROADWAY, APT 4B, NEW YORK, NY 10034-3119
(347) 620-6206
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005378
NY
225700000X
Massage Therapist
021016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25.005378
NYSED OFFICE OF PROFESSIONS DEPT.LICENSE#
NY
Enumeration date
09/24/2014
Last updated
09/24/2014
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