Provider Demographics
NPI:1407492556
Name:JIN ACUPUNCTURE THERAPY PLLC
Entity Type:Organization
Organization Name:JIN ACUPUNCTURE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:JIN
Authorized Official - Suffix:
Authorized Official - Credentials:LC A
Authorized Official - Phone:718-288-2548
Mailing Address - Street 1:224 W 35TH ST UNIT 905
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2507
Mailing Address - Country:US
Mailing Address - Phone:347-886-5539
Mailing Address - Fax:
Practice Address - Street 1:224 W 35TH ST UNIT 905
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2507
Practice Address - Country:US
Practice Address - Phone:315-889-3200
Practice Address - Fax:315-889-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty