Provider Demographics
NPI:1922405976
Name:W & Y STAR ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:W & Y STAR ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:GUI-YING
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
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:917-200-6440
Mailing Address - Fax:718-358-1901
Practice Address - Street 1:14355 37TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5729
Practice Address - Country:US
Practice Address - Phone:917-200-6440
Practice Address - Fax:718-362-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005007-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty