Healthcare Provider Details

I. General information

NPI: 1649148420
Provider Name (Legal Business Name): SEONG CHUL HA ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-113 ROUTE 303 SUITE 207
TAPPAN NY
10983-2514
US

IV. Provider business mailing address

99-113 NY-303 SUITE 207
TAPPAN NY
10983-2514
US

V. Phone/Fax

Practice location:
  • Phone: 917-325-7179
  • Fax:
Mailing address:
  • Phone: 917-325-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SEONG CHUL HA
Title or Position: PROVIDER
Credential:
Phone: 917-325-7179