Healthcare Provider Details

I. General information

NPI: 1356135289
Provider Name (Legal Business Name): YEAH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 W 27TH ST UNIT 801
NEW YORK NY
10001-6206
US

IV. Provider business mailing address

129 W 27TH ST UNIT 801
NEW YORK NY
10001-6206
US

V. Phone/Fax

Practice location:
  • Phone: 332-271-8914
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HYUNDONG AHN
Title or Position: LAC
Credential:
Phone: 332-271-8914