Provider Demographics
NPI:1073908570
Name:JOYCE LEUNG LILLY ACUPUNCTURE
Entity Type:Organization
Organization Name:JOYCE LEUNG LILLY ACUPUNCTURE
Other - Org Name:JOYCE ACUPUNCTURE NYC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:LEUNG
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-801-6170
Mailing Address - Street 1:3660 OXFORD AVE APT 14D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1734
Mailing Address - Country:US
Mailing Address - Phone:646-801-6170
Mailing Address - Fax:
Practice Address - Street 1:3660 OXFORD AVE APT 14D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1734
Practice Address - Country:US
Practice Address - Phone:646-801-6170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty