East Billow Acupuncture, P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EAST BILLOW ACUPUNCTURE, P.C.

Practice address

207 Hallock Road
Ste 209
Stony Brook, NY 11790-3082

Phone

(631) 338-8516

Fax

(518) 984-3120

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Soungkyum LeeNPI 1427526722

Title

Acupuncturist

Phone

(201) 364-1066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soungkyum Lee

  • Acupuncturist
  • New York, NY
  • NPI 1427526722
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1669178257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK ROAD",
            "address_2": "STE 209",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903082",
            "telephone_number": "631-338-8516",
            "fax_number": "518-984-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK ROAD",
            "address_2": "STE 209",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903082",
            "telephone_number": "631-338-8516",
            "fax_number": "518-984-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W 45th St Ste 502",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364005",
            "country_code": "US",
            "telephone_number": "212-884-5999",
            "fax_number": "212-457-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BILLOW ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOUNGKYUM",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-364-1066"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Renate Dybus, RPA
• Alexandria Dyer
• Mwata O Dyson, M.D.
• E.L.H. Optical, Inc.
• Stacy Marie Eagle, M.D.
• Eastern Medical Care of Suffolk County, P.C.
• Madeline Eckhardt
• Christopher Edelstein, RPA
• Rivcka Edelstein, PHD
• Mathew D Ednick, D.O.

• Acupuncturist in Stony Brook, NY
• Providers in Stony Brook, 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 15, 2024; 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.