Provider Demographics
NPI:1043603624
Name:YINYANG 5 ELEMENTS ACUPUNCTURE, P.C.
Entity Type:Organization
Organization Name:YINYANG 5 ELEMENTS ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HYEONJU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-445-2346
Mailing Address - Street 1:13682 39TH AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5515
Mailing Address - Country:US
Mailing Address - Phone:718-445-2346
Mailing Address - Fax:718-445-2348
Practice Address - Street 1:13682 39TH AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5515
Practice Address - Country:US
Practice Address - Phone:718-445-2346
Practice Address - Fax:718-445-2348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003521-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty