Provider Demographics
NPI:1235325101
Name:REN, YOU JUN (ACUPUNCTURIST)
Entity type:Individual
Prefix:MISS
First Name:YOU JUN
Middle Name:
Last Name:REN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43-70 MISSENA BLVD.
Mailing Address - Street 2:APT. # 19M
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:917-379-5987
Mailing Address - Fax:
Practice Address - Street 1:19705 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2126
Practice Address - Country:US
Practice Address - Phone:718-213-9882
Practice Address - Fax:718-264-0378
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist