Provider Demographics
NPI:1508318601
Name:PATIENT CHOICE ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:PATIENT CHOICE ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNGIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-889-4001
Mailing Address - Street 1:16110 JAMAICA AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6139
Mailing Address - Country:US
Mailing Address - Phone:929-249-3700
Mailing Address - Fax:929-295-7032
Practice Address - Street 1:16110 JAMAICA AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6139
Practice Address - Country:US
Practice Address - Phone:929-249-3700
Practice Address - Fax:929-295-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005706171100000X
NY032243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty