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1164905337
MIAE CHONG
BAYSIDE, NY
NPI
1164905337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 005742)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
MIAE CHONG
4711 BELL BLVD
BAYSIDE, NY 11361-3333
Phone number: 718-423-5100
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Mailing Address
MIAE CHONG
5052 206TH ST
BAYSIDE, NY 11364-1052
Phone number: 646-675-8221
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