Provider Demographics
NPI:1285422709
Name:YOO, MINJEUNG (LAC)
Entity type:Individual
Prefix:
First Name:MINJEUNG
Middle Name:
Last Name:YOO
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 NORTHWOOD WAY APT 2B
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1943
Mailing Address - Country:US
Mailing Address - Phone:646-296-2923
Mailing Address - Fax:
Practice Address - Street 1:370 NORTHWOOD WAY APT 2B
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1943
Practice Address - Country:US
Practice Address - Phone:551-265-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007619-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist