Provider Demographics
NPI:1164912184
Name:HGQ ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:HGQ ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-283-2202
Mailing Address - Street 1:88 BLEECKER ST APT 3M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1515
Mailing Address - Country:US
Mailing Address - Phone:646-283-2202
Mailing Address - Fax:
Practice Address - Street 1:39 W 14TH ST STE 408
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:516-900-7762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005994171100000X
NY006087171100000X
NY006204171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005994OtherACUPUNCTURE
NY006087OtherACUPUNCTURE
NY006204OtherACUPUNCTURE