Provider Demographics
NPI:1972839611
Name:YJY ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:YJY ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YONG JIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOU
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:347-707-5718
Mailing Address - Street 1:6434 102ND ST APT 3X
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3665
Mailing Address - Country:US
Mailing Address - Phone:718-830-9855
Mailing Address - Fax:
Practice Address - Street 1:6434 102ND ST APT 3X
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3665
Practice Address - Country:US
Practice Address - Phone:718-830-9855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001834261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001834OtherACUPUNCTURE