Great Neck Acupuncturist & Wellness, PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001083-1 Issued in NY

Legal business name

GREAT NECK ACUPUNCTURIST & WELLNESS, PC

Practice address

3016 30TH Dr FL 2
Astoria, NY 11102-1874

Phone

(516) 983-0714

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Won Hui Park, ACUPUNCTURIST

Title

Owner

Phone

(516) 983-0714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1942563713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640781",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113640781",
            "telephone_number": "516-983-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "516-983-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK ACUPUNCTURIST & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "HUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-983-0714",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001083-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.