Provider Demographics
NPI:1053767533
Name:HWANG, CHRISTINE (ND, MS, LAC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:ND, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 32ND ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1804
Mailing Address - Country:US
Mailing Address - Phone:917-971-7220
Mailing Address - Fax:
Practice Address - Street 1:636 BROADWAY
Practice Address - Street 2:#1009
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2607
Practice Address - Country:US
Practice Address - Phone:917-971-7220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5247171100000X
WANT60440316175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath