Basic Information
| Provider Information | |||||||||
| NPI: | 1528381381 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | H & G PT& ACUPUNCTURE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 52512 | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113520512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188868180 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14370 SANFORD AVE | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113552044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188866268 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2010 | ||||||||
| LastUpdateDate: | 03/09/2010 | ||||||||
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| AuthorizedOfficialLastName: | HWANG | ||||||||
| AuthorizedOfficialFirstName: | HYEON | ||||||||
| AuthorizedOfficialMiddleName: | CHEOL | ||||||||
| AuthorizedOfficialTitleorPosition: | RPT | ||||||||
| AuthorizedOfficialTelephone: | 7188866268 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 021472 | NY | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 021472 | 01 | NY | LICENSE | OTHER |