Provider Demographics
NPI:1891755328
Name:WU, XU (LAC)
Entity Type:Individual
Prefix:MS
First Name:XU
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:LI HUA
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:8031 BROADWAY
Mailing Address - Street 2:ACUPUNCTURE AND NATURAL HEALING
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3160
Mailing Address - Country:US
Mailing Address - Phone:212-233-4063
Mailing Address - Fax:
Practice Address - Street 1:8031 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3160
Practice Address - Country:US
Practice Address - Phone:212-233-4063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000421-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist