Provider Demographics
NPI:1134890601
Name:NEW YORK SPRING ACUPUNCTURE PC
Entity type:Organization
Organization Name:NEW YORK SPRING ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC
Authorized Official - Prefix:MS
Authorized Official - First Name:PEIYU
Authorized Official - Middle Name:
Authorized Official - Last Name:JIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-881-3080
Mailing Address - Street 1:3420 148TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3739
Mailing Address - Country:US
Mailing Address - Phone:646-881-3080
Mailing Address - Fax:
Practice Address - Street 1:14238 37TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4103
Practice Address - Country:US
Practice Address - Phone:646-881-3080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty