- Practice location
- 450 Mamaroneck Ave Ste 414, Harrison, NY 10528
- Phone
- 914-421-1001
- Fax
- 914-421-1001
- Last updated
- November 5, 2024
Jaesun Yoo is an Acupuncturist based in Harrison, NY. Jaesun Yoo practices in Harrison, NY and has the professional credentials of LIC AC. The NPI Number for Jaesun Yoo is 1124195862 and holds a License No. 230147 (MA). The current practice location address for Jaesun Yoo is 450 Mamaroneck Ave Ste 414, Harrison, NY 10528 and can be reached out via phone at 914-421-1001 and via fax at 914-421-1001.
Provider Profile Details
- NPI Number
- 1124195862
- Provider Name
- Jaesun Yoo
- Credential
- LIC AC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 450 Mamaroneck Ave Ste 414, Harrison, NY 10528
- Phone Number
- 914-421-1001
- Fax Number
- 914-421-1001
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2006
- Last Update Date
- November 5, 2024
- Certification Date
- November 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Mamaroneck Ave Ste 414
Harrison, NY 10528 - City
- Harrison
- State
- New York
- Zip
- 10528
- Phone Number
- 914-421-1001
- Fax Number
- 914-421-1001
Provider Business Mailing Address Details
- Address
- 450 Mamaroneck Ave Ste 414
Harrison, NY 10528-2430 - City
- Harrison
- State
- NY
- Zip
- 10528-2430
- Phone Number
- 914-421-1001
- Fax Number
- 914-421-1001
License Information
- License Number (1)
- 230147
- License State (1)
- MA
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 003396
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Jaesun Yoo, LIC AC?
The NPI number of Jaesun Yoo, LIC AC is 1124195862. It was assigned on November 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Jaesun Yoo, LIC AC?
Jaesun Yoo, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 230147.
Where does Jaesun Yoo, LIC AC practice?
The practice location is 450 Mamaroneck Ave Ste 414, Harrison, NY 10528. The office can be reached at 914-421-1001 (phone) or 914-421-1001 (fax).
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 1124195862 directly on the NPPES registry website.