Provider Demographics
NPI:1891340915
Name:TRIANGLE WELLNESS CORP
Entity Type:Organization
Organization Name:TRIANGLE WELLNESS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHUN SANG
Authorized Official - Middle Name:
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-915-5985
Mailing Address - Street 1:333 5TH AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5131
Mailing Address - Country:US
Mailing Address - Phone:212-689-3833
Mailing Address - Fax:
Practice Address - Street 1:333 5TH AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5131
Practice Address - Country:US
Practice Address - Phone:212-689-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA