Healthcare Provider Details

I. General information

NPI: 1144039306
Provider Name (Legal Business Name): YOUNG ACUPUNCTURE & MASSAGE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E 48TH ST # 1B
NEW YORK NY
10017-1509
US

IV. Provider business mailing address

6143B 223RD PL
OAKLAND GARDENS NY
11364-2328
US

V. Phone/Fax

Practice location:
  • Phone: 347-981-2286
  • Fax:
Mailing address:
  • Phone: 347-981-2286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: YOUNG CHUL KIM
Title or Position: ACUPUNCTURIST & MASSAGE THERAPIST
Credential:
Phone: 347-981-2286