Provider Demographics
NPI:1821304445
Name:ACUPUNCTURE CARE SERVICES PC
Entity Type:Organization
Organization Name:ACUPUNCTURE CARE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JIAJIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-660-6883
Mailing Address - Street 1:3131 138TH ST
Mailing Address - Street 2:#3B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2654
Mailing Address - Country:US
Mailing Address - Phone:917-660-6883
Mailing Address - Fax:
Practice Address - Street 1:3609 MAIN ST
Practice Address - Street 2:9C2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6542
Practice Address - Country:US
Practice Address - Phone:917-660-6883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002475171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty