Provider Demographics
NPI:1477026565
Name:MING, PEINI
Entity Type:Individual
Prefix:MS
First Name:PEINI
Middle Name:
Last Name:MING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329B SOUNDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1167
Mailing Address - Country:US
Mailing Address - Phone:646-705-6869
Mailing Address - Fax:
Practice Address - Street 1:329B SOUNDVIEW LN
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-1167
Practice Address - Country:US
Practice Address - Phone:646-705-6869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006156171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist