Provider Demographics
NPI:1467968552
Name:SONG ACUPOWER WELLNESS
Entity Type:Organization
Organization Name:SONG ACUPOWER WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-871-8700
Mailing Address - Street 1:282 GRAND AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4364
Mailing Address - Country:US
Mailing Address - Phone:201-871-8700
Mailing Address - Fax:
Practice Address - Street 1:282 GRAND AVE STE 2
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4364
Practice Address - Country:US
Practice Address - Phone:201-871-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty