MEDICARE: MOMOKO UNO 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	001166	NY

General Provider Information

NPI Number	:	1770606782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOMOKO UNO L.AC

Provider Business Mailing Address
First Line	:	12 W 27TH ST. 9TH FL.
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	212-675-9355
Fax Number	:	212-675-9381

Provider Business Practice Location Address
First Line	:	12 W 27TH ST
Second Line	:	9TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10001-6903
Country	:	US
Telephone Number	:	212-675-9355
Fax Number	:	212-675-9381

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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Directions to “ MOMOKO UNO L.AC” Practice Location

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