Provider Demographics
NPI:1376141010
Name:HALCYON ACUPUNCTURE OF LONG ISLAND PLLC
Entity Type:Organization
Organization Name:HALCYON ACUPUNCTURE OF LONG ISLAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-469-7478
Mailing Address - Street 1:20 RAVINE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1712
Mailing Address - Country:US
Mailing Address - Phone:516-469-7478
Mailing Address - Fax:
Practice Address - Street 1:5621 MARATHON PKWY STE 2
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-2037
Practice Address - Country:US
Practice Address - Phone:516-441-7598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty