MEDICARE: SEONG CHUL HA ACUPUNCTURE PC

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	225700000X	Massage Therapist
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1649148420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEONG CHUL HA ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	99-113 NY-303 SUITE 207
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-2514
Country	:	US
Telephone Number	:	917-325-7179
Fax Number	:

Provider Business Practice Location Address
First Line	:	99-113 ROUTE 303 SUITE 207
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-2514
Country	:	US
Telephone Number	:	917-325-7179
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	SEONG CHUL HA
Credential	:
Telephone Number	:	917-325-7179

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

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