Provider Demographics
NPI:1801367719
Name:LM WILLIAM STREET ACUPUNCTURE PC
Entity Type:Organization
Organization Name:LM WILLIAM STREET ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-515-2228
Mailing Address - Street 1:156 WILLIAM ST RM 801
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-0083
Mailing Address - Country:US
Mailing Address - Phone:315-975-8066
Mailing Address - Fax:646-998-5035
Practice Address - Street 1:156 WILLIAM ST RM 801
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-0083
Practice Address - Country:US
Practice Address - Phone:315-975-8066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty