Jung Tak Kim
Acupuncturist in Flushing, NY. Individual provider (NPI-1).
NPI number1114697307
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1114697307
- Entity type
- Individual (NPI-1)
- Name
- Jung Tak Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2021
- Certification date
- Sep 17, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 006405 | NY | Yes |
Practice location
4124 161st St Apt 2a2Flushing, NY 11358-4137
Phone 646-353-7260
Mailing address
4124 161st St Apt 2a2Flushing, NY 11358-4137
Phone 646-353-7260
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