Organization
NANUM ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANG HEON CHO L.AC (ACUPUNCTURIST)
(347) 237-7564
Entity
Organization
Contact information
Practice address
516 LAKEVILLE RD, NEW HYDE PARK, NY 11040-3006
(347) 237-7564
Mailing address
6325 MARATHON PKWY, LITTLE NECK, NY 11362-2338
(347) 237-7564
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005973-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851835342
—
NY
Enumeration date
06/15/2017
Last updated
11/25/2020
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