Promise Healing Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002591 Issued in NY

Legal business name

PROMISE HEALING ACUPUNCTURE, PLLC

Practice address

4109 108TH St
Suite LL
Corona, NY 11368-3477

Phone

(718) 205-2230

Fax

(718) 205-2245

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Young S Park

Title

President

Phone

(718) 205-2230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1205289931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 108TH ST",
            "address_2": "SUITE LL",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683477",
            "telephone_number": "718-205-2230",
            "fax_number": "718-205-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 108TH ST",
            "address_2": "SUITE LL",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683477",
            "telephone_number": "718-205-2230",
            "fax_number": "718-205-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HEALING ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-2230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Corona, NY
• Providers in Corona, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.