Provider Demographics
NPI:1821307919
Name:LIANG, JING HUANG (L AC)
Entity Type:Individual
Prefix:
First Name:JING
Middle Name:HUANG
Last Name:LIANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:42 EISENHOWER DR.
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:408-799-7856
Mailing Address - Fax:408-519-6551
Practice Address - Street 1:14 JASON PLACE , SUITE #201
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-800-5118
Practice Address - Fax:408-519-6551
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13789171100000X
NY006566171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist