Provider Demographics
NPI: | 1437352390 |
---|---|
Name: | HUA YI ACUPUNCTURE, P.C. |
Entity Type: | Organization |
Organization Name: | HUA YI ACUPUNCTURE, P.C. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | QUAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | L AC |
Authorized Official - Phone: | 718-961-8825 |
Mailing Address - Street 1: | 13618 39TH AVE |
Mailing Address - Street 2: | 9TH FLOOR |
Mailing Address - City: | FLUSHING |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11354-5516 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-961-8825 |
Mailing Address - Fax: | 718-961-8815 |
Practice Address - Street 1: | 13618 39TH AVE |
Practice Address - Street 2: | 9TH FLOOR |
Practice Address - City: | FLUSHING |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11354-5516 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-961-8825 |
Practice Address - Fax: | 718-961-8815 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-06-07 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 001951 | 171100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |