Provider Demographics
NPI:1124589114
Name:KUAI, HONG (LAC)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:KUAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 WILLOWBROOK TER
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2647
Mailing Address - Country:US
Mailing Address - Phone:518-488-7579
Mailing Address - Fax:
Practice Address - Street 1:800 ROUTE 146 STE 276
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3905
Practice Address - Country:US
Practice Address - Phone:518-488-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006225171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist