Healthcare Provider Details

I. General information

NPI: 1720288483
Provider Name (Legal Business Name): JAMES JOONG HAHN M.S., LAC., D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696R WHITE PLAINS ROAD
SCARSDALE NY
10583
US

IV. Provider business mailing address

5 PHEASANT RUN
SCARSDALE NY
10583-3100
US

V. Phone/Fax

Practice location:
  • Phone: 917-270-3309
  • Fax: 201-569-0022
Mailing address:
  • Phone: 917-270-3309
  • Fax: 201-569-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number011375
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00659500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009755
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00059900
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000909
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003627
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: