Provider Demographics
NPI:1659935088
Name:LI, BITANG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:BITANG
Middle Name:
Last Name:LI
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 1:6728 214TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2522
Mailing Address - Country:US
Mailing Address - Phone:718-631-5733
Mailing Address - Fax:
Practice Address - Street 1:34 MARCONI ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2710
Practice Address - Country:US
Practice Address - Phone:800-668-5972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist