| NPI | 1588222509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONGKOO AHN Provider 917-563-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |