Provider Demographics
NPI:1881448967
Name:AFFINITY ACUPUNCTURE HEALTH CARE PLLC
Entity type:Organization
Organization Name:AFFINITY ACUPUNCTURE HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-894-8963
Mailing Address - Street 1:4028 COLLEGE PIONT BLVD
Mailing Address - Street 2:1110
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:646-894-8963
Mailing Address - Fax:
Practice Address - Street 1:4028 COLLEGE PIONT BLVD
Practice Address - Street 2:1110
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:646-894-8963
Practice Address - Fax:619-268-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty