Provider Demographics
NPI:1811024177
Name:CHUN, NAN YI (LAC)
Entity Type:Individual
Prefix:
First Name:NAN YI
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W 36TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7953
Mailing Address - Country:US
Mailing Address - Phone:212-643-3293
Mailing Address - Fax:212-643-3295
Practice Address - Street 1:5 W 36TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7953
Practice Address - Country:US
Practice Address - Phone:212-643-3293
Practice Address - Fax:212-643-3295
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0017571171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist