Provider Demographics
NPI:1679245286
Name:ZION ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:ZION ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KWANYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-759-2423
Mailing Address - Street 1:485 MORSE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2420
Mailing Address - Country:US
Mailing Address - Phone:201-759-2423
Mailing Address - Fax:
Practice Address - Street 1:120 SYLVAN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2501
Practice Address - Country:US
Practice Address - Phone:201-886-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty