Provider Demographics
NPI:1629771209
Name:LI QIAN ACUPUNCTURE PC
Entity Type:Organization
Organization Name:LI QIAN ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-951-1483
Mailing Address - Street 1:34 DEVINE AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3721
Mailing Address - Country:US
Mailing Address - Phone:212-951-1483
Mailing Address - Fax:888-646-5967
Practice Address - Street 1:369 LEXINGTON AVE RM 12B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6527
Practice Address - Country:US
Practice Address - Phone:212-951-1483
Practice Address - Fax:888-646-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty