Healthcare Provider Details

I. General information

NPI: 1336656420
Provider Name (Legal Business Name): SUNNYWOOD ACUPUNCTURE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15009 NORTHERN BLVD FL 2
FLUSHING NY
11354-3860
US

IV. Provider business mailing address

15009 NORTHERN BLVD FL 2
FLUSHING NY
11354-3860
US

V. Phone/Fax

Practice location:
  • Phone: 631-899-1298
  • Fax:
Mailing address:
  • Phone: 631-899-1298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004026
License Number StateNY

VIII. Authorized Official

Name: MR. HO RHEEM RIM
Title or Position: OWNER/PRESIDENT
Credential: L.AC
Phone: 917-683-3740