Provider Demographics
NPI:1790217354
Name:SUNNY HEALTH ACUPUNCTURE PC
Entity type:Organization
Organization Name:SUNNY HEALTH ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YANG
Authorized Official - Middle Name:
Authorized Official - Last Name:GUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-415-2331
Mailing Address - Street 1:260 BEACH 81ST ST
Mailing Address - Street 2:APT. 5G
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1902
Mailing Address - Country:US
Mailing Address - Phone:718-415-2331
Mailing Address - Fax:718-502-6001
Practice Address - Street 1:260 BEACH 81ST ST
Practice Address - Street 2:APT. 5G
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-1902
Practice Address - Country:US
Practice Address - Phone:718-415-2331
Practice Address - Fax:718-502-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002524-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty