Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAEWAN SO
Active Sole ProprietorMR. JAEWAN SO is a Acupuncturist healthcare provider located in EAST NORTHPORT, New York. NPI 1396043642 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1396043642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2011 (15.277590092173 yrs)
- Last Updated
- Mar 10, 2011
- License
-
004508 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
424 2ND AVE WEAST NORTHPORT, NY, 117313401Browse NY providers · Browse ZIP 11731
- Phone
- 6313682359
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in EAST NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER LYNN ROMANO | M.S., L.AC. | 1659417665 |
| MR. RALPH EDWARD HINKSON | L.AC. | 1265794887 |
| MRS. IRMA CALLAHAN | — | 1811312440 |
| MICHAEL KIM | L.AC. | 1346627742 |
| MR. WALTER ANTHONY NOWICKI | — | 1548742166 |
| LISA PAGANO | — | 1538819776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.