Provider Demographics
NPI:1831264662
Name:PENG, DING LUN (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:DING
Middle Name:LUN
Last Name:PENG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:MR
Other - First Name:DING
Other - Middle Name:LUN
Other - Last Name:PENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACCUPUNCTURIST
Mailing Address - Street 1:108 EAST 38TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-889-4802
Mailing Address - Fax:646-742-1655
Practice Address - Street 1:108 EAST 38TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-889-4802
Practice Address - Fax:646-742-1655
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000154171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist