NPI 1023373685 · live from the CMS NPI Registry
Jongkoo Ahn, LAc,LMT
Acupuncturist in Stony Brook, NY. National Provider Identifier 1023373685, active.
NPI record
| NPI | 1023373685 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Acupuncturist 171100000X |
| Practice location | 215 Hallock Rd Ste 6a, Stony Brook, NY 11790 |
| Practice phone | 917-563-1824 |
| Enumerated | July 10, 2012 |
| Last updated | June 4, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 025164 (NY) |
| Acupuncturist primary | 171100000X | 003747 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.