Provider Demographics
NPI:1699414631
Name:FIVE SEASONS ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:FIVE SEASONS ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-538-5755
Mailing Address - Street 1:135 W 29TH ST RM 1103
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5224
Mailing Address - Country:US
Mailing Address - Phone:917-538-5755
Mailing Address - Fax:
Practice Address - Street 1:135 W 29TH ST RM 1103
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5224
Practice Address - Country:US
Practice Address - Phone:917-538-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty