| Mr Jaewan So, | |
|
424 2nd Ave W, East Northport, NY 11731-3401 | |
| (631) 368-2359 | |
| Not Available |
| Full Name | Mr Jaewan So |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 424 2nd Ave W, East Northport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396043642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 004508 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jaewan So, 424 2nd Ave W, East Northport, NY 11731-3401 Ph: () - | Mr Jaewan So, 424 2nd Ave W, East Northport, NY 11731-3401 Ph: (631) 368-2359 |
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