MEDICARE: MS. UNE-HI SONG M.S., 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	003219	NY
2	171100000X	Acupuncturist	25MZ00048700	NJ

General Provider Information

NPI Number	:	1891809000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. UNE-HI SONG M.S., L.AC.

Provider Business Mailing Address
First Line	:	240 W. PASSAIC ST
Second Line	:	STE 8
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1264
Country	:	US
Telephone Number	:	551-800-1590
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 W. PASSAIC ST
Second Line	:	STE 8
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1264
Country	:	US
Telephone Number	:	551-800-1590
Fax Number	:

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/22/2021

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