Provider Demographics
NPI:1205058989
Name:ACE ACUPUNCTURE & NATURAL HEALTH
Entity type:Organization
Organization Name:ACE ACUPUNCTURE & NATURAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONGHOON
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-748-6329
Mailing Address - Street 1:20920 18TH AVE
Mailing Address - Street 2:#2C
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1452
Mailing Address - Country:US
Mailing Address - Phone:646-748-6329
Mailing Address - Fax:
Practice Address - Street 1:20920 18TH AVE
Practice Address - Street 2:#2C
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-1452
Practice Address - Country:US
Practice Address - Phone:646-748-6329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2014-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003015171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty