Provider Demographics
NPI:1760674220
Name:LI, WEI HAI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:WEI HAI
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3700
Mailing Address - Country:US
Mailing Address - Phone:212-385-4973
Mailing Address - Fax:212-385-4974
Practice Address - Street 1:75 NASSAU ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3700
Practice Address - Country:US
Practice Address - Phone:212-385-4973
Practice Address - Fax:212-385-4974
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000-664171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11361187OtherCAQH