Provider Demographics
NPI:1669637377
Name:CLINICA DE ACUPUNTURA Y SALUD
Entity Type:Organization
Organization Name:CLINICA DE ACUPUNTURA Y SALUD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-854-8488
Mailing Address - Street 1:6135 BERGENLINE AVE
Mailing Address - Street 2:#3
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1562
Mailing Address - Country:US
Mailing Address - Phone:201-854-8488
Mailing Address - Fax:201-854-8964
Practice Address - Street 1:6135 BERGENLINE AVE
Practice Address - Street 2:#3
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1562
Practice Address - Country:US
Practice Address - Phone:201-854-8488
Practice Address - Fax:201-854-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center