Provider Demographics
NPI:1992841324
Name:YIN YANG HARMONY ACUPUNCTURE
Entity Type:Organization
Organization Name:YIN YANG HARMONY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERIK
Authorized Official - Middle Name:E
Authorized Official - Last Name:JENTE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-359-6342
Mailing Address - Street 1:1975 LINDEN BLVD
Mailing Address - Street 2:STE #207
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003
Mailing Address - Country:US
Mailing Address - Phone:516-285-7605
Mailing Address - Fax:516-285-7609
Practice Address - Street 1:1975 LINDEN BLVD
Practice Address - Street 2:STE #207
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4004
Practice Address - Country:US
Practice Address - Phone:516-285-7605
Practice Address - Fax:516-285-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty