Provider Demographics
NPI:1760001515
Name:PRIORITY CARE ACUPUNCTURE & INTEGRATIVE MEDICINE LLC
Entity Type:Organization
Organization Name:PRIORITY CARE ACUPUNCTURE & INTEGRATIVE MEDICINE LLC
Other - Org Name:PRIORITY CARE ACUPUNCTURE & INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONG
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-214-1632
Mailing Address - Street 1:239 NEW RD STE B313
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4274
Mailing Address - Country:US
Mailing Address - Phone:917-214-1632
Mailing Address - Fax:347-752-5729
Practice Address - Street 1:239 NEW RD STE B313
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4274
Practice Address - Country:US
Practice Address - Phone:917-214-1632
Practice Address - Fax:347-752-5729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-12
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty