Lotus Green Acupuncture P.C.
Acupuncturist in Middletown, NY. Organization (NPI-2).
NPI number1164045423
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1164045423
- Entity type
- Organization (NPI-2)
- Legal business name
- Lotus Green Acupuncture P.C.
- Organization subpart
- No
- Enumeration date
- May 21, 2020
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
156 Dolson Ave Ste 11Middletown, NY 10940-6560
Phone 845-381-2688 · Fax 845-345-8201
Mailing address
156 Dolson Ave Ste 11Middletown, NY 10940-6560
Phone 845-381-2688 · Fax 845-345-8201
Other practice locations
280 Broadway Ste 2
Newburgh, NY 12550-8203
Newburgh, NY 12550-8203
Phone 845-381-2688
Authorized official
Jongwhan Cha
President
8453812688
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