Yu Ri Song, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006122 Issued in NY

Practice address

2270 Grand Ave
Baldwin, NY 11510-3163

Phone

(516) 379-0000

NPI assigned

Oct 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570838400000",
    "number": "1902448889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103163",
            "telephone_number": "516-379-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YU RI",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Simone
• Deena Soliman
• Jill Soller
• Sonia Somers
• Rajenie Somra
• Katherine Sotack, LMSW
• South Baldwin Facilities Management Corp
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Shore Asociation for Independent Living, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; 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.