MEDICARE: BRUCE WOONG PARK L.AC.

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	004850	NY

General Provider Information

NPI Number	:	1467708826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE WOONG PARK L.AC.

Provider Business Mailing Address
First Line	:	200 E 58TH ST
Second Line	:	APT 15J
City	:	NEW YORK
State	:	NY
Zip	:	10022-2025
Country	:	US
Telephone Number	:	646-262-6315
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E 58TH ST
Second Line	:	APT 15J
City	:	NEW YORK
State	:	NY
Zip	:	10022-2025
Country	:	US
Telephone Number	:	646-262-6315
Fax Number	:

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

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	10/07/2015

Similar Medicare Providers

1144288598 — LARA STACIE MOST MS, RD
Practice Location Address:

200 E 58TH ST , 12B
NEW YORK, NY
10022-2025

Practice Phone: 212-980-1999
Practice Fax:

1114942687 — DUANE READE
Practice Location Address:

2025 BROADWAY
NEW YORK, NY
10023-5016

Practice Phone: 212-579-9955
Practice Fax: 212-721-6551

1437330164 — YANA SLAVINSKY PHARM D
Practice Location Address:

2025 BROADWAY
NEW YORK, NY
10023-5016

Practice Phone: 212-579-9955
Practice Fax:

1346418209 — RACHEL MARA SARILL
Practice Location Address:

2025 BROADWAY , APT 5F
NEW YORK, NY
10023-5038

Practice Phone: 718-350-3171
Practice Fax:

1508020587 — DR. SETH I ROSEN MD
Practice Location Address:

2025 BROADWAY
NEW YORK, NY
10023-5016

Practice Phone: 212-390-8812
Practice Fax: 212-390-8814

1588996185 — ANNA LEUNG
Practice Location Address:

2025 BROADWAY
NEW YORK, NY
10023-5016

Practice Phone: 212-579-9955
Practice Fax:

Directions to “ BRUCE WOONG PARK L.AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.