Provider Demographics
NPI:1457013583
Name:KUEI, PEISHAN LAUREN (LAC)
Entity Type:Individual
Prefix:
First Name:PEISHAN
Middle Name:LAUREN
Last Name:KUEI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:KUEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:L AC
Mailing Address - Street 1:1829 CATON AVE APT 3H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2868
Mailing Address - Country:US
Mailing Address - Phone:917-536-8499
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8155
Practice Address - Country:US
Practice Address - Phone:347-508-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007007171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist