Provider Demographics
NPI:1225279722
Name:JADE ACUPUNCTURE SERVICES, P.C.
Entity Type:Organization
Organization Name:JADE ACUPUNCTURE SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-207-6344
Mailing Address - Street 1:2481 W 1ST ST
Mailing Address - Street 2:SUITE BS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5928
Mailing Address - Country:US
Mailing Address - Phone:718-207-6344
Mailing Address - Fax:
Practice Address - Street 1:8804 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5662
Practice Address - Country:US
Practice Address - Phone:718-921-6100
Practice Address - Fax:718-921-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000914171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty