Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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In Kuk Bang, LAC

Individual provider Massage Therapist · NPI 1558890418

In Kuk Bang, LAC is a Massage Therapist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

20801 Northern Blvd Ste 301
Bayside, NY 11361-3118
Phone: (718) 224-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 005930 (NY)
Massage Therapist Taxonomy 225700000X · Licence 027555 (NY)

Record details

NPI number1558890418
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedJune 5, 2017
Last updated in NPPESJuly 21, 2022

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