Provider Demographics
NPI:1629794276
Name:HIMA ACUPUNCTURE P.C
Entity Type:Organization
Organization Name:HIMA ACUPUNCTURE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ACUPUNCTURIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:XUE
Authorized Official - Middle Name:
Authorized Official - Last Name:XIA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-807-8848
Mailing Address - Street 1:148 BEDFORD AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-2053
Mailing Address - Country:US
Mailing Address - Phone:646-807-8848
Mailing Address - Fax:
Practice Address - Street 1:1182 BROADWAY STE 3A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5403
Practice Address - Country:US
Practice Address - Phone:646-807-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty