Provider Demographics
NPI:1396944666
Name:HARTSDALE ACUPUNCTURE P.L.L.C.
Entity type:Organization
Organization Name:HARTSDALE ACUPUNCTURE P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TING YU
Authorized Official - Middle Name:
Authorized Official - Last Name:FENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-507-1799
Mailing Address - Street 1:100 E HARTSDALE AVE APT 6HE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3953
Mailing Address - Country:US
Mailing Address - Phone:917-597-1799
Mailing Address - Fax:914-681-9887
Practice Address - Street 1:68 E HARTSDALE AVE STE 1E
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2774
Practice Address - Country:US
Practice Address - Phone:914-681-9888
Practice Address - Fax:914-681-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB 2090675977OtherCNA