Healthcare Provider Details

I. General information

NPI: 1073146205
Provider Name (Legal Business Name): ENJOY ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E 56TH ST STE 330B
NEW YORK NY
10022-3607
US

IV. Provider business mailing address

14720 35TH AVE APT 7A
FLUSHING NY
11354-3706
US

V. Phone/Fax

Practice location:
  • Phone: 516-884-8182
  • Fax:
Mailing address:
  • Phone: 516-884-8182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID SOLOMON KIM
Title or Position: PRESIDENT
Credential:
Phone: 516-884-8182