Provider Demographics
NPI:1215365804
Name:BIG APPLE ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:BIG APPLE ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:SHAN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:646-427-6078
Mailing Address - Street 1:14454 SANFORD AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1620
Mailing Address - Country:US
Mailing Address - Phone:646-427-6078
Mailing Address - Fax:
Practice Address - Street 1:14454 SANFORD AVE APT 18
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1620
Practice Address - Country:US
Practice Address - Phone:646-427-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001197171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty