Provider Demographics
NPI:1023386448
Name:J. LEUNG ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:J. LEUNG ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-861-3699
Mailing Address - Street 1:PO BOX 90339
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-0339
Mailing Address - Country:US
Mailing Address - Phone:917-861-3699
Mailing Address - Fax:866-200-0396
Practice Address - Street 1:18 E. 41ST STREET #1407
Practice Address - Street 2:C/O LINA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:917-861-3699
Practice Address - Fax:917-861-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004018171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty