Active NPIIndividual providerSole proprietor

Daejoong Kim, LAC

Acupuncturist in Spring Valley, New York

NPI Number1265569420
Practice location
8 S Madison Ave, Spring Valley, NY 10977-5538
Fax
—
Last updated
August 5, 2020

Daejoong Kim is an Acupuncturist based in Spring Valley, NY. Daejoong Kim practices in Spring Valley, NY and has the professional credentials of LAC. The NPI Number for Daejoong Kim is 1265569420 and holds a License No. 002704 (NY). The current practice location address for Daejoong Kim is 8 S Madison Ave, Spring Valley, NY 10977-5538 and can be reached out via phone at 845-519-5049.

Provider Profile Details

NPI Number
1265569420
Provider Name
Daejoong Kim
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
8 S Madison Ave, Spring Valley, NY 10977-5538
Phone Number
845-519-5049
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
August 5, 2020
Certification Date
August 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 S Madison Ave
Spring Valley, NY 10977-5538
Zip
10977-5538
Phone Number
845-519-5049
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
8 Walker Ave
Closter, NJ 07624-2831
City
Closter
State
NJ
Zip
07624-2831
Phone Number
845-519-5049

License Information

License Number
002704
License State
NY
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Daejoong Kim, LAC?

The NPI number of Daejoong Kim, LAC is 1265569420. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Daejoong Kim, LAC?

Daejoong Kim, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 002704.

Where does Daejoong Kim, LAC practice?

The practice location is 8 S Madison Ave, Spring Valley, NY 10977-5538. The office can be reached at 845-519-5049 (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 1265569420 directly on the NPPES registry website.

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