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General NPI Number Information
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NPI Number | 1144580887
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Entity Type | Organization
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Legal Business Name | GOOD NEIGHBOR ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 11/11/2023
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Provider Practice Location Address
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Address Line | 1 HOLLOW LN STE 300
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1215
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Country | US
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Telephone | 516-279-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 134 SYOSSET WOODBURY RD
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City | SYOSSET
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State | NY
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Zip | 11791-3121
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Country | US
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Telephone | 917-293-6518
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. HYE WON MOON
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Credential | L.AC
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Telephone | 917-293-6518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004765
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License Number State | NY
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