Provider Demographics
NPI:1588416143
Name:ACUPUNCTURE PRACTICE ALTHEA P.C.
Entity type:Organization
Organization Name:ACUPUNCTURE PRACTICE ALTHEA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUR
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:347-458-4576
Mailing Address - Street 1:113 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5510
Mailing Address - Country:US
Mailing Address - Phone:347-458-4576
Mailing Address - Fax:213-402-2543
Practice Address - Street 1:113 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5510
Practice Address - Country:US
Practice Address - Phone:347-458-4576
Practice Address - Fax:213-402-2543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center