Provider Demographics
NPI:1760088280
Name:ANKANG ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:ANKANG ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-868-2828
Mailing Address - Street 1:935 NORTHERN BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5328
Mailing Address - Country:US
Mailing Address - Phone:516-439-4706
Mailing Address - Fax:516-466-4015
Practice Address - Street 1:935 NORTHERN BLVD STE 303
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5328
Practice Address - Country:US
Practice Address - Phone:516-439-4706
Practice Address - Fax:516-466-4015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty