Provider Demographics
NPI:1942068523
Name:GREAT MIAO INC
Entity Type:Organization
Organization Name:GREAT MIAO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-500-0179
Mailing Address - Street 1:430 ROUTE 25A # ATE09
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1759
Mailing Address - Country:US
Mailing Address - Phone:516-500-0179
Mailing Address - Fax:516-500-0181
Practice Address - Street 1:430 ROUTE 25A # ATE09
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1759
Practice Address - Country:US
Practice Address - Phone:516-500-0179
Practice Address - Fax:516-500-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty