Provider Demographics
NPI:1881804326
Name:PAI, WEN-CHIANG (LAC)
Entity type:Individual
Prefix:
First Name:WEN-CHIANG
Middle Name:
Last Name:PAI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6847 KESSEL ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5729
Mailing Address - Country:US
Mailing Address - Phone:718-520-7158
Mailing Address - Fax:
Practice Address - Street 1:44 E. 32ND ST. 11TH FLOOR
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:917-657-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001324171100000X
NJ25MZ00032300171100000X
CT000276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist