Provider Demographics
NPI:1790741346
Name:BU BU ACUPUNCTURE SERVICES, P.C.
Entity Type:Organization
Organization Name:BU BU ACUPUNCTURE SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOONSUN
Authorized Official - Middle Name:LYNDA
Authorized Official - Last Name:BYUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-961-8875
Mailing Address - Street 1:14423 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3126
Mailing Address - Country:US
Mailing Address - Phone:718-961-8875
Mailing Address - Fax:718-321-1870
Practice Address - Street 1:14423 34TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3126
Practice Address - Country:US
Practice Address - Phone:718-961-8875
Practice Address - Fax:718-321-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01770171100000X
NY01600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty