Provider Demographics
NPI:1760965826
Name:HSIEH REN, CINDY XIAOYAN (LAC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:XIAOYAN
Last Name:HSIEH REN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2709
Mailing Address - Country:US
Mailing Address - Phone:917-369-0698
Mailing Address - Fax:
Practice Address - Street 1:255 E HANOVER AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4073
Practice Address - Country:US
Practice Address - Phone:917-369-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006374171100000X
NJ25MZ00156200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist