Provider Demographics
NPI:1518538347
Name:HAPPY ACUPUNCTURE PRACTITIONER OF NY, LLC
Entity Type:Organization
Organization Name:HAPPY ACUPUNCTURE PRACTITIONER OF NY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:
Authorized Official - Last Name:YUABOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-749-4429
Mailing Address - Street 1:7911 149TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3845
Mailing Address - Country:US
Mailing Address - Phone:917-749-4429
Mailing Address - Fax:
Practice Address - Street 1:1343 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2213
Practice Address - Country:US
Practice Address - Phone:917-749-4429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1811402480OtherNPI