Provider Demographics
NPI:1720850142
Name:XU ACUPUNCTURE WELLNESS PC
Entity Type:Organization
Organization Name:XU ACUPUNCTURE WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAQUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:347-659-7965
Mailing Address - Street 1:347 5TH AVE RM 1509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5049
Mailing Address - Country:US
Mailing Address - Phone:347-659-7965
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:347 5TH AVE RM 1509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5049
Practice Address - Country:US
Practice Address - Phone:347-659-7965
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty