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 |