MEDICARE: MS. ELEANOR YUNG 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	002234	NY

General Provider Information

NPI Number	:	1619112687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELEANOR YUNG L.AC.

Provider Business Mailing Address
First Line	:	12 W 27TH ST
Second Line	:	9F
City	:	NEW YORK
State	:	NY
Zip	:	10001-6903
Country	:	US
Telephone Number	:	646-831-9745
Fax Number	:	212-675-9381

Provider Business Practice Location Address
First Line	:	12 W 27TH ST
Second Line	:	9F
City	:	NEW YORK
State	:	NY
Zip	:	10001-6903
Country	:	US
Telephone Number	:	646-831-9745
Fax Number	:	212-675-9381

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

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	12/04/2008

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