Healthcare Provider Details

I. General information

NPI: 1326978446
Provider Name (Legal Business Name): CITY LIFE ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W 32ND ST STE 602
NEW YORK NY
10001-0602
US

IV. Provider business mailing address

2 W 32ND ST STE 602
NEW YORK NY
10001-0602
US

V. Phone/Fax

Practice location:
  • Phone: 201-800-2641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YOUNGSUN KIM
Title or Position: ACUPUNCTURIST/ OWNER
Credential:
Phone: 201-800-2641