Provider Demographics
NPI:1144039306
Name:YOUNG ACUPUNCTURE & MASSAGE P.C.
Entity type:Organization
Organization Name:YOUNG ACUPUNCTURE & MASSAGE P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST & MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG CHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-981-2286
Mailing Address - Street 1:6143B 223RD PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2328
Mailing Address - Country:US
Mailing Address - Phone:347-981-2286
Mailing Address - Fax:
Practice Address - Street 1:230 E 48TH ST # 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1509
Practice Address - Country:US
Practice Address - Phone:347-981-2286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1306502216Medicaid
NY1306502216OtherNPI