Provider Demographics
NPI:1376264663
Name:HEEMOON CHOO ACUPUNCTURE PC
Entity Type:Organization
Organization Name:HEEMOON CHOO ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HEE MOON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-594-3337
Mailing Address - Street 1:4555 162ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-4200
Mailing Address - Country:US
Mailing Address - Phone:917-319-5097
Mailing Address - Fax:
Practice Address - Street 1:4555 162ND ST APT 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-4200
Practice Address - Country:US
Practice Address - Phone:917-319-5097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty