MEDICARE: MR. SUYOUNG YUN

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	007942	NY
2	171100000X	Acupuncturist	25MZ00183400	NJ

General Provider Information

NPI Number	:	1619803541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SUYOUNG YUN

Provider Business Mailing Address
First Line	:	1522 10TH ST APT 1
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-2190
Country	:	US
Telephone Number	:	201-981-9942
Fax Number	:

Provider Business Practice Location Address
First Line	:	1522 10TH ST APT 1
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-2190
Country	:	US
Telephone Number	:	201-981-9942
Fax Number	:

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

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ MR. SUYOUNG YUN ” Practice Location

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