Provider Demographics
NPI:1750662086
Name:HEEOCK LEE ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:HEEOCK LEE ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HEEOCK
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-228-1069
Mailing Address - Street 1:310 W 52ND ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6286
Mailing Address - Country:US
Mailing Address - Phone:646-228-1069
Mailing Address - Fax:212-757-9272
Practice Address - Street 1:310 W 52ND ST APT 5C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6286
Practice Address - Country:US
Practice Address - Phone:646-228-1069
Practice Address - Fax:212-757-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty