Provider Demographics
NPI:1083815138
Name:WREN ACUPUNCTURE
Entity Type:Organization
Organization Name:WREN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QI FANG
Authorized Official - Middle Name:
Authorized Official - Last Name:REN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-742-8000
Mailing Address - Street 1:30 WALL ST STE 500
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-2201
Mailing Address - Country:US
Mailing Address - Phone:212-742-8000
Mailing Address - Fax:212-742-1557
Practice Address - Street 1:30 WALL ST STE 500
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2201
Practice Address - Country:US
Practice Address - Phone:212-742-8000
Practice Address - Fax:212-742-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001675171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty