Provider Demographics
NPI:1285902783
Name:AHN, HYUN JUN (LAC)
Entity type:Individual
Prefix:
First Name:HYUN JUN
Middle Name:
Last Name:AHN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:HYUN JUN
Other - Middle Name:
Other - Last Name:AHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:38 W 32ND ST STE 1208
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3878
Mailing Address - Country:US
Mailing Address - Phone:347-535-2794
Mailing Address - Fax:
Practice Address - Street 1:38 W 32ND ST STE 1208
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3878
Practice Address - Country:US
Practice Address - Phone:347-535-2794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004657171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist