Provider Demographics
NPI:1710359567
Name:NANYAWON INC.
Entity Type:Organization
Organization Name:NANYAWON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOO
Authorized Official - Middle Name:H
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:845-359-0589
Mailing Address - Street 1:9 TAPPAN PLZ
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-2814
Mailing Address - Country:US
Mailing Address - Phone:845-359-0589
Mailing Address - Fax:845-359-0953
Practice Address - Street 1:9 TAPPAN PLZ
Practice Address - Street 2:
Practice Address - City:TAPPAN
Practice Address - State:NY
Practice Address - Zip Code:10983-2814
Practice Address - Country:US
Practice Address - Phone:845-359-0589
Practice Address - Fax:845-359-0953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4504171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty