Provider Demographics
NPI:1689214207
Name:XC ACUPUNCTURE & MASSAGE THERAPY PC
Entity Type:Organization
Organization Name:XC ACUPUNCTURE & MASSAGE THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:XINPING
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-558-2588
Mailing Address - Street 1:323 E MIDDLE COUNTRY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2822
Mailing Address - Country:US
Mailing Address - Phone:631-780-5511
Mailing Address - Fax:631-780-5512
Practice Address - Street 1:323 E MIDDLE COUNTRY RD STE 3
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2822
Practice Address - Country:US
Practice Address - Phone:631-780-5511
Practice Address - Fax:631-780-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-11
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty