- Practice location
- 100 Route 303, Tappan, NY 10983-2117
- Phone
- 845-680-6294
- Fax
- —
- Last updated
- October 6, 2021
Kyong Su Han is an Acupuncturist based in Tappan, NY. Kyong Su Han practices in Tappan, NY and has the professional credentials of LAC. The NPI Number for Kyong Su Han is 1023524956 and holds a License No. 025130-1 (NY). The current practice location address for Kyong Su Han is 100 Route 303, Tappan, NY 10983-2117 and can be reached out via phone at 845-680-6294.
Provider Profile Details
- NPI Number
- 1023524956
- Provider Name
- Kyong Su Han
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Route 303, Tappan, NY 10983-2117
- Phone Number
- 845-680-6294
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 14, 2017
- Last Update Date
- October 6, 2021
- Certification Date
- October 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Route 303
Tappan, NY 10983-2117 - City
- Tappan
- State
- New York
- Zip
- 10983-2117
- Phone Number
- 845-680-6294
Provider Business Mailing Address Details
- Address
- 2449B Rossett St
Fort Lee, NJ 07024-3919 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-3919
- Phone Number
- 201-240-2488
License Information
- License Number (1)
- 025130-1
- License State (1)
- NY
- Taxonomy (1)
- Massage Therapist · 225700000X
- License Number (2)
- 006038-1
- License State (2)
- NY
- Taxonomy (2)
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Acupuncturists near Tappan, NY
View all Acupuncturists in Tappan →Frequently Asked Questions
What is the NPI number of Kyong Su Han, LAC?
The NPI number of Kyong Su Han, LAC is 1023524956. It was assigned on December 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Kyong Su Han, LAC?
Kyong Su Han, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 025130-1.
Where does Kyong Su Han, LAC practice?
The practice location is 100 Route 303, Tappan, NY 10983-2117. The office can be reached at 845-680-6294 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023524956 directly on the NPPES registry website.