Provider Demographics
NPI:1275114233
Name:YE2 ACUPUNCTURE CLINIC LLC
Entity type:Organization
Organization Name:YE2 ACUPUNCTURE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KWANGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-917-3005
Mailing Address - Street 1:321 BROAD AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2338
Mailing Address - Country:US
Mailing Address - Phone:201-917-3005
Mailing Address - Fax:
Practice Address - Street 1:3425 LIMEKILN PIKE STE 2
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3602
Practice Address - Country:US
Practice Address - Phone:215-997-7878
Practice Address - Fax:215-997-7879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YE ACUPUNCTURE CLINIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-20
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty