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NPI Code Detail

MEDICARE: HYOUK-EUN CAROLYN KWEON L. AC

MEDICARE: HYOUK-EUN CAROLYN KWEON 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
1171100000XAcupuncturist007230NY

General Provider Information

NPI Number : 1982389425
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYOUK-EUN CAROLYN KWEON L. AC
Provider Business Mailing Address
First Line : 50 FARRELL CT
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2085
Country : US
Telephone Number : 718-344-4572
Fax Number :
Provider Business Practice Location Address
First Line : 181 LEXINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6446
Country : US
Telephone Number : 862-252-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 08/12/2023

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