Provider Demographics
NPI:1710619234
Name:BK ACUPUNCTURE, P.C.
Entity Type:Organization
Organization Name:BK ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BYONGSUK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-428-1750
Mailing Address - Street 1:1648 E 14TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1175
Mailing Address - Country:US
Mailing Address - Phone:929-428-1750
Mailing Address - Fax:718-676-0609
Practice Address - Street 1:1648 E 14TH ST STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1175
Practice Address - Country:US
Practice Address - Phone:929-428-1750
Practice Address - Fax:718-676-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty