Provider Demographics
NPI:1275118259
Name:ON ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:ON ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:GYU
Authorized Official - Middle Name:SUN
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-319-9397
Mailing Address - Street 1:2391 BELL BLVD STE 205D
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2019
Mailing Address - Country:US
Mailing Address - Phone:929-412-7558
Mailing Address - Fax:
Practice Address - Street 1:2391 BELL BLVD STE 205D
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2019
Practice Address - Country:US
Practice Address - Phone:929-412-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty