Provider Demographics
NPI:1356004261
Name:ACUPUNCTURE BY BAE PLLC
Entity Type:Organization
Organization Name:ACUPUNCTURE BY BAE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEEJIN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BAE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-655-9873
Mailing Address - Street 1:118 W 72ND ST LBBY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 W 72ND ST LBBY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3316
Practice Address - Country:US
Practice Address - Phone:646-655-9873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty