MEDICARE: SUHI HONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1174878367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHI HONG

Provider Business Mailing Address
First Line	:	3930 RICHMOND AVE
Second Line	:	SUITE 200
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-5104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 RICHMOND AVE
Second Line	:	SUITE 200
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-5104
Country	:	US
Telephone Number	:	718-317-9801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	10/19/2016

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