Healthcare Provider Details

I. General information

NPI: 1184437402
Provider Name (Legal Business Name): DAO ACUPUNCTURE AND MASSAGE THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 30TH ST APT 1R
ASTORIA NY
11102-2103
US

IV. Provider business mailing address

2619 30TH ST APT 1R
ASTORIA NY
11102-2103
US

V. Phone/Fax

Practice location:
  • Phone: 646-283-8316
  • Fax:
Mailing address:
  • Phone: 646-283-8316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUYOUNG LEE
Title or Position: PRESIDENT
Credential: L.AC
Phone: 646-283-8316