MRS. Sufen Gong, LIC.AC

NPI #1629253307 in Vestal, New York

Provider Information

NPI Number: 1629253307
Entity Type: Individual
Name: MRS. Sufen Gong, LIC.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LIC.AC
Enumeration Date: Dec 31, 2007
Last Updated: Dec 31, 2007

Practice Location

Address: 4513 OLD VESTAL RD
City: Vestal
State: New York
ZIP Code: 13850-3571
Phone: (607) 729-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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Organizations

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