Provider Demographics
NPI:1437352028
Name:FENG, TING YU (LAC, DOM,DAC)
Entity Type:Individual
Prefix:MR
First Name:TING YU
Middle Name:
Last Name:FENG
Suffix:
Gender:M
Credentials:LAC, DOM,DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E HARTSDALE AVE APT 6HE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3953
Mailing Address - Country:US
Mailing Address - Phone:914-681-9888
Mailing Address - Fax:914-681-9887
Practice Address - Street 1:68 E HARTSDALE AVE , SUITE 1E
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2707
Practice Address - Country:US
Practice Address - Phone:914-681-9888
Practice Address - Fax:914-681-9887
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002676-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist