Provider Demographics
NPI:1689972283
Name:FIRST CHOICE ACUPUNCTURE PC
Entity Type:Organization
Organization Name:FIRST CHOICE ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:XL
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:718-268-4464
Mailing Address - Street 1:21919 PECK AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1121
Mailing Address - Country:US
Mailing Address - Phone:718-406-7256
Mailing Address - Fax:718-544-0430
Practice Address - Street 1:7136 110TH ST
Practice Address - Street 2:SP1
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4850
Practice Address - Country:US
Practice Address - Phone:718-268-4464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001261-1305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service