Provider Demographics
NPI:1841418092
Name:LI, RUNHONG (LAC)
Entity Type:Individual
Prefix:MR
First Name:RUNHONG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2210 86TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4108
Mailing Address - Country:US
Mailing Address - Phone:718-449-5086
Mailing Address - Fax:718-449-5086
Practice Address - Street 1:2210 86TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4108
Practice Address - Country:US
Practice Address - Phone:718-449-5086
Practice Address - Fax:718-449-5086
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002333171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist