Healthcare Provider Details

I. General information

NPI: 1447171368
Provider Name (Legal Business Name): KYUNGHEE-EDEN INTEGRATIVE MEDICINE WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E RIDGEWOOD AVE # 125
PARAMUS NJ
07652-4142
US

IV. Provider business mailing address

21230 23RD AVE APT 6H
BAYSIDE NY
11360-1522
US

V. Phone/Fax

Practice location:
  • Phone: 201-967-3811
  • Fax:
Mailing address:
  • Phone: 718-578-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: PROF. ANDREW FRNACIS PYO
Title or Position: PRESIDENT
Credential: L.AC
Phone: 718-578-0000