Healthcare Provider Details

I. General information

NPI: 1801304456
Provider Name (Legal Business Name): HAPPY SOUND CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3236 212TH ST
BAYSIDE NY
11361-1055
US

IV. Provider business mailing address

3236 212TH ST
BAYSIDE NY
11361-1055
US

V. Phone/Fax

Practice location:
  • Phone: 718-300-2777
  • Fax:
Mailing address:
  • Phone: 718-300-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number15000027471
License Number StateNY

VIII. Authorized Official

Name: MR. KEUN SUNG KANG
Title or Position: PRESIDENT
Credential:
Phone: 718-300-2777