Provider Demographics
NPI:1568706505
Name:NATURAL CARE ACUPUNCTURE PC
Entity Type:Organization
Organization Name:NATURAL CARE ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:LIBIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:JIAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-939-6335
Mailing Address - Street 1:3370 PRINCE ST STE 508
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2703
Mailing Address - Country:US
Mailing Address - Phone:718-939-6335
Mailing Address - Fax:718-321-1401
Practice Address - Street 1:3370 PRINCE ST STE 508
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2703
Practice Address - Country:US
Practice Address - Phone:718-939-6335
Practice Address - Fax:718-321-1401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATURAL CARE ACUPUNCTURE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-15
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004491-2171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty