Provider Demographics
NPI:1295039634
Name:HOSOI, AIKO (LAC)
Entity Type:Individual
Prefix:
First Name:AIKO
Middle Name:
Last Name:HOSOI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:AIKO
Other - Middle Name:HOSOI
Other - Last Name:OKADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:2005 38TH ST
Mailing Address - Street 2:3 FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-1631
Mailing Address - Country:US
Mailing Address - Phone:917-498-0799
Mailing Address - Fax:
Practice Address - Street 1:2005 38TH ST
Practice Address - Street 2:3 FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1631
Practice Address - Country:US
Practice Address - Phone:917-498-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004490171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist