Provider Demographics
NPI:1073917308
Name:RUBY ACUPUNTURE HOLISTIC HEALTHCARE PC
Entity Type:Organization
Organization Name:RUBY ACUPUNTURE HOLISTIC HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-816-6661
Mailing Address - Street 1:8231 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1435
Mailing Address - Country:US
Mailing Address - Phone:917-816-6661
Mailing Address - Fax:
Practice Address - Street 1:8231 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1435
Practice Address - Country:US
Practice Address - Phone:917-816-6661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017581171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty