Provider Demographics
NPI:1457621351
Name:BRUCE XU ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:BRUCE XU ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:585-385-4510
Mailing Address - Street 1:8 HIDDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2897
Mailing Address - Country:US
Mailing Address - Phone:585-385-4510
Mailing Address - Fax:585-385-4519
Practice Address - Street 1:2851 CLOVER ST
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1711
Practice Address - Country:US
Practice Address - Phone:585-385-4510
Practice Address - Fax:585-385-4519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001054171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty