Organization
GRACEFUL LOTUS ACUPUNCTURE , P.C.
Active
Organization
GRACEFUL LOTUS ACUPUNCTURE , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIYUN SHIN LAC (ACUPUNCTURIST)
(917) 670-1500
Entity
Organization
Contact information
Practice address
42 W 38TH ST RM 1204, NEW YORK, NY 10018-0054
(212) 320-3722
Mailing address
6707 242ND ST APT 3F, DOUGLASTON, NY 11362-1998
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/11/2025
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