Provider Demographics
NPI:1124225396
Name:TERESA XU ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:TERESA XU ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-245-3372
Mailing Address - Street 1:250 WEST 57TH STREET,
Mailing Address - Street 2:1003
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107
Mailing Address - Country:US
Mailing Address - Phone:212-245-3372
Mailing Address - Fax:201-261-4419
Practice Address - Street 1:250 WEST 57TH STREET,
Practice Address - Street 2:1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107
Practice Address - Country:US
Practice Address - Phone:212-245-3372
Practice Address - Fax:201-261-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty