Provider Demographics
NPI:1356769038
Name:HS ACUPUNCTURE AND HERBS, LLC
Entity type:Organization
Organization Name:HS ACUPUNCTURE AND HERBS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:HO
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-363-1400
Mailing Address - Street 1:2027 CENTER AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4707
Mailing Address - Country:US
Mailing Address - Phone:201-363-1400
Mailing Address - Fax:201-363-1401
Practice Address - Street 1:2027 CENTER AVE FL 1
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4707
Practice Address - Country:US
Practice Address - Phone:201-363-1400
Practice Address - Fax:201-363-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00079300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty