Provider Demographics
NPI:1043467160
Name:WU, JIN-SHENG
Entity Type:Individual
Prefix:
First Name:JIN-SHENG
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JIN-SHENG
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:97-24 METROPOLITAN AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6626
Mailing Address - Country:US
Mailing Address - Phone:347-233-3880
Mailing Address - Fax:
Practice Address - Street 1:97-24 METROPOLITAN AVE
Practice Address - Street 2:2ND FL
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6626
Practice Address - Country:US
Practice Address - Phone:347-233-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002534-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist