Dae Won Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004533 Issued in NY

Legal business name

DAE WON ACUPUNCTURE PC

Practice address

16315 Northern Blvd
Ste 3
Flushing, NY 11358-2667

Phone

(718) 321-0875

NPI assigned

Jul 6, 2015

Last updated

Jul 6, 2015By 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

Thomas An

Title

Acupuncturist

Phone

(718) 321-0875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1326421678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 NORTHERN BLVD",
            "address_2": "STE 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582667",
            "telephone_number": "718-321-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 NORTHERN BLVD",
            "address_2": "STE 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582667",
            "telephone_number": "718-321-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE WON ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "718-321-0875"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Flushing, NY
• Providers in Flushing, 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 6, 2015; 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.