Provider Demographics
NPI:1740510635
Name:GUAN-ELKIN, BINGHUI FAYE (LAC)
Entity type:Individual
Prefix:MRS
First Name:BINGHUI
Middle Name:FAYE
Last Name:GUAN-ELKIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:BINGHUI
Other - Middle Name:
Other - Last Name:GUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:23 ROCKLEDGE RD APT 2B
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3421
Mailing Address - Country:US
Mailing Address - Phone:914-629-1611
Mailing Address - Fax:
Practice Address - Street 1:111 N CENTRAL AVE STE 231
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1938
Practice Address - Country:US
Practice Address - Phone:914-629-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist