Provider Demographics
NPI:1699491308
Name:TRUE LIFE ACUPUNCTURE PC
Entity type:Organization
Organization Name:TRUE LIFE ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MINJA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-733-8891
Mailing Address - Street 1:248-25 NORTHERN BLVD.
Mailing Address - Street 2:SUITE #2B
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362
Mailing Address - Country:US
Mailing Address - Phone:347-235-4742
Mailing Address - Fax:718-691-4366
Practice Address - Street 1:248-25 NORTHERN BLVD.
Practice Address - Street 2:SUITE #2B
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362
Practice Address - Country:US
Practice Address - Phone:347-235-4742
Practice Address - Fax:718-691-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty