Healthcare Provider Details

I. General information

NPI: 1801229497
Provider Name (Legal Business Name): ADVANCED MANAGEMENT NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 6TH AVE SUITE 25F
NEW YORK NY
10001
US

IV. Provider business mailing address

885 6TH AVE SUITE 25F
NEW YORK NY
10001
US

V. Phone/Fax

Practice location:
  • Phone: 212-714-1004
  • Fax:
Mailing address:
  • Phone: 212-714-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004992-1
License Number StateNY

VIII. Authorized Official

Name: HEA YOON
Title or Position: PRESIDENT
Credential:
Phone: 212-714-1004