Provider Demographics
NPI:1760273312
Name:THE TRANQUIL EXPERIENCE WELLNESS CENTER
Entity type:Organization
Organization Name:THE TRANQUIL EXPERIENCE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-448-0447
Mailing Address - Street 1:387 ONCREST TER
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2712
Mailing Address - Country:US
Mailing Address - Phone:201-448-0447
Mailing Address - Fax:
Practice Address - Street 1:685 BERGEN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1400
Practice Address - Country:US
Practice Address - Phone:201-448-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty