Chang Jong Kim
Acupuncturist in Oakland Gardens, NY. Individual provider (NPI-1).
NPI number1538024609
StatusActive
Last updated in NPPESDec 19, 2025
Details
- NPI
- 1538024609
- Entity type
- Individual (NPI-1)
- Name
- Chang Jong Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2025
- Certification date
- Dec 19, 2025
- Last updated
- Dec 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 007847 | NY | Yes |
Practice location
6161 223rd PlOakland Gardens, NY 11364-2328
Phone 347-852-4500
Mailing address
6161 223rd PlOakland Gardens, NY 11364-2328
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