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NPI Code Detail

MEDICARE: VINE ACUPUNCTURE, P.C.

MEDICARE: VINE 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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1568277614
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINE ACUPUNCTURE, P.C.
Provider Business Mailing Address
First Line : 31 E 32ND ST RM 610
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5592
Country : US
Telephone Number : 917-683-2223
Fax Number : 646-858-0086
Provider Business Practice Location Address
First Line : 31 E 32ND ST RM 610
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5592
Country : US
Telephone Number : 917-683-2223
Fax Number : 646-858-0086
Authorized Official
Title or Position : PRESIDENT
Name : JOONSUNG LEE
Credential :
Telephone Number : 917-683-2223
Provider Enumeration Date : 02/07/2025
Last Update Date : 02/07/2025

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