Healthcare Provider Details

I. General information

NPI: 1174416093
Provider Name (Legal Business Name): JU KIM ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 W 32ND ST STE 1001
NEW YORK NY
10001-3852
US

IV. Provider business mailing address

16 W 32ND ST STE 1001
NEW YORK NY
10001-3852
US

V. Phone/Fax

Practice location:
  • Phone: 212-239-5559
  • Fax:
Mailing address:
  • Phone: 212-239-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JU KIM
Title or Position: PROVIDER
Credential:
Phone: 201-919-2865