Provider Demographics
NPI:1902663594
Name:JASON YI ACUPUNCTURE P.C
Entity Type:Organization
Organization Name:JASON YI ACUPUNCTURE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:DIPLAC, LAC
Authorized Official - Phone:718-200-9092
Mailing Address - Street 1:145 WESTWOOD DR APT 162
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1626
Mailing Address - Country:US
Mailing Address - Phone:718-200-9092
Mailing Address - Fax:
Practice Address - Street 1:145 WESTWOOD DR APT 162
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-1626
Practice Address - Country:US
Practice Address - Phone:718-200-9092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty