Provider Demographics
NPI:1205477270
Name:WOON ACUPUNCTURE PC
Entity type:Organization
Organization Name:WOON ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG WOON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-747-4785
Mailing Address - Street 1:14370 SANFORD AVE # 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2044
Mailing Address - Country:US
Mailing Address - Phone:718-747-4785
Mailing Address - Fax:917-970-8211
Practice Address - Street 1:14370 SANFORD AVE # 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2044
Practice Address - Country:US
Practice Address - Phone:718-747-4785
Practice Address - Fax:917-970-8211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty