Provider Demographics
NPI:1407173073
Name:GREEN ACUPUNCTURE, P.C.
Entity Type:Organization
Organization Name:GREEN ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:DR
Authorized Official - First Name:YEONGPIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-421-1690
Mailing Address - Street 1:77 TARRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1639
Mailing Address - Country:US
Mailing Address - Phone:914-421-1690
Mailing Address - Fax:
Practice Address - Street 1:77 TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1639
Practice Address - Country:US
Practice Address - Phone:914-421-1690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1454171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty