Healthcare Provider Details

I. General information

NPI: 1447621594
Provider Name (Legal Business Name): BMA ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E 45TH ST FL 6
NEW YORK NY
10017-2425
US

IV. Provider business mailing address

9 E 45TH ST FL 6
NEW YORK NY
10017-2425
US

V. Phone/Fax

Practice location:
  • Phone: 646-476-7950
  • Fax: 646-476-7935
Mailing address:
  • Phone: 646-476-7950
  • Fax: 646-476-7935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOONSEO LEE
Title or Position: PRESIDENT
Credential: L.AC
Phone: 646-476-7950