Provider Demographics
NPI:1841805678
Name:GYM ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:GYM ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUI-YING
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-200-6440
Mailing Address - Street 1:5831 146TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:718-358-1901
Practice Address - Street 1:5831 146TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5324
Practice Address - Country:US
Practice Address - Phone:917-200-6440
Practice Address - Fax:718-358-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty