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1720642689
KANG TAE LEE
BAYSIDE, NY
NPI
1720642689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 006477-1)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
Mr. KANG TAE LEE
5732 226TH ST FL 1
BAYSIDE, NY 11364-2045
Phone number: 631-223-9491
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Mailing Address
Mr. KANG TAE LEE
5732 226TH ST FL 1
BAYSIDE, NY 11364-2045
Phone number: 631-223-9491
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