Libra Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

LIBRA ACUPUNCTURE PC

Practice address

315 Walt Whitman Rd Ste 311
Huntington Station, NY 11746-4112

Phone

(631) 923-0334

Fax

(631) 923-0335

NPI assigned

Mar 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hyejin Kim, LAC

Title

President

Phone

(631) 923-0334

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1124653373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRA ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYEJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-923-0334",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.