| NPI | 1003709643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH YUAN Owner 917-238-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-14 |