Provider Demographics
NPI:1013362425
Name:RUYI ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:RUYI ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WULFORST
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AP
Authorized Official - Phone:516-610-0107
Mailing Address - Street 1:85 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4387
Mailing Address - Country:US
Mailing Address - Phone:516-610-0107
Mailing Address - Fax:
Practice Address - Street 1:85 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4387
Practice Address - Country:US
Practice Address - Phone:516-610-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002740171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty