Provider Demographics
NPI:1407813496
Name:BYUN, YOONSUN LYNDA (LAC)
Entity Type:Individual
Prefix:
First Name:YOONSUN
Middle Name:LYNDA
Last Name:BYUN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:YOONSUN
Other - Middle Name:LYNDA
Other - Last Name:YI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:14423 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3126
Mailing Address - Country:US
Mailing Address - Phone:718-961-8875
Mailing Address - Fax:718-321-1870
Practice Address - Street 1:14423 34TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3126
Practice Address - Country:US
Practice Address - Phone:718-961-8875
Practice Address - Fax:718-321-1870
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001770171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist