Provider Demographics
NPI:1295085801
Name:RJ ACUHERBS LLC
Entity type:Organization
Organization Name:RJ ACUHERBS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:REN JUN
Authorized Official - Last Name:YUAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-620-6350
Mailing Address - Street 1:12 JAN RIVER DR
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1623
Mailing Address - Country:US
Mailing Address - Phone:646-620-6350
Mailing Address - Fax:
Practice Address - Street 1:3756 87TH ST
Practice Address - Street 2:5G
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7538
Practice Address - Country:US
Practice Address - Phone:646-620-6350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004563171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty