Provider Demographics
NPI:1013490572
Name:EVOLVE ACUPUNCTURE & WELLNESS LLC
Entity Type:Organization
Organization Name:EVOLVE ACUPUNCTURE & WELLNESS LLC
Other - Org Name:EVOLVE ACUPUNCTURE & WELLNESS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:TZUYING
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-277-7640
Mailing Address - Street 1:233 BROADWAY RM 2750
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10279-2704
Mailing Address - Country:US
Mailing Address - Phone:917-277-7640
Mailing Address - Fax:917-277-7638
Practice Address - Street 1:233 BROADWAY RM 2750
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10279-2704
Practice Address - Country:US
Practice Address - Phone:917-277-7640
Practice Address - Fax:917-277-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty