Provider Demographics
NPI:1578145702
Name:CUI, YONGSHENG (LAC DIPLOM)
Entity Type:Individual
Prefix:PROF
First Name:YONGSHENG
Middle Name:
Last Name:CUI
Suffix:
Gender:M
Credentials:LAC DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 BAYSIDE AVE STE 9U
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2300
Mailing Address - Country:US
Mailing Address - Phone:347-249-7660
Mailing Address - Fax:
Practice Address - Street 1:7815 220TH PL
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3530
Practice Address - Country:US
Practice Address - Phone:347-249-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006846171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist