Provider Demographics
NPI:1093127037
Name:TEE, KANG PIN (LAC, DIPLAC)
Entity Type:Individual
Prefix:MR
First Name:KANG PIN
Middle Name:
Last Name:TEE
Suffix:
Gender:M
Credentials:LAC, DIPLAC
Other - Prefix:MR
Other - First Name:KANG
Other - Middle Name:
Other - Last Name:TEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:110 REMSEN ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4215
Mailing Address - Country:US
Mailing Address - Phone:347-460-7234
Mailing Address - Fax:347-824-2016
Practice Address - Street 1:110 REMSEN ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4215
Practice Address - Country:US
Practice Address - Phone:347-460-7234
Practice Address - Fax:347-824-2016
Is Sole Proprietor?:No
Enumeration Date:2014-05-26
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005314171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist