Provider Demographics
NPI:1578774816
Name:QIU, KAI-HONG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:KAI-HONG
Middle Name:
Last Name:QIU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 VILLA ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1949
Mailing Address - Country:US
Mailing Address - Phone:917-637-9235
Mailing Address - Fax:
Practice Address - Street 1:30 MIDDLE NECK RD STE 1E
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1335
Practice Address - Country:US
Practice Address - Phone:516-246-5188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000694171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist