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NPI Code Detail

MEDICARE: HEEOCK LEE ACUPUNCTURE CLINIC

MEDICARE: HEEOCK LEE ACUPUNCTURE CLINIC
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 : 1750662086
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEEOCK LEE ACUPUNCTURE CLINIC
Provider Business Mailing Address
First Line : 310 W 52ND ST APT 5C
Second Line :
City : NEW YORK
State : NY
Zip : 10019-6286
Country : US
Telephone Number : 646-228-1069
Fax Number : 212-757-9272
Provider Business Practice Location Address
First Line : 310 W 52ND ST APT 5C
Second Line :
City : NEW YORK
State : NY
Zip : 10019-6286
Country : US
Telephone Number : 646-228-1069
Fax Number : 212-757-9272
Authorized Official
Title or Position : ACUPUNCTURIST
Name : HEEOCK LEE
Credential :
Telephone Number : 646-228-1069
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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Directions to “HEEOCK LEE ACUPUNCTURE CLINIC ” Practice Location

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