Healthcare Provider Details

I. General information

NPI: 1427300961
Provider Name (Legal Business Name): MIDTOWN ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2012
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1053 MORRIS PARK AVE
BRONX NY
10461-1453
US

IV. Provider business mailing address

1053 MORRIS PARK AVE
BRONX NY
10461-1453
US

V. Phone/Fax

Practice location:
  • Phone: 646-872-0183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002545
License Number StateNY

VIII. Authorized Official

Name: WOOCHUL JUNG
Title or Position: ACUPUNCTURIST
Credential:
Phone: 646-872-0183