Provider Demographics
NPI:1598455669
Name:C.S HAN ACUPUNCTURE
Entity Type:Organization
Organization Name:C.S HAN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANG SEONG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-885-4208
Mailing Address - Street 1:16231 DEPOT RD FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2021
Mailing Address - Country:US
Mailing Address - Phone:718-885-4208
Mailing Address - Fax:
Practice Address - Street 1:16231 DEPOT RD FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2021
Practice Address - Country:US
Practice Address - Phone:718-885-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty