MEDICARE: NAON ACUPUNCTURE P.C.

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	:	1245885680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAON ACUPUNCTURE P.C.

Provider Business Mailing Address
First Line	:	15408 NORTHERN BLVD STE 2F
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15408 NORTHERN BLVD STE 2F
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5042
Country	:	US
Telephone Number	:	718-939-1275
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOUNGJUN YOUN
Credential	:
Telephone Number	:	646-413-2200

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	08/02/2019

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