Provider Demographics
NPI:1912592460
Name:DONGXING ACUPUNCTURE PC
Entity Type:Organization
Organization Name:DONGXING ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONGXING
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-250-6409
Mailing Address - Street 1:9229 QUEENS BLVD APT 14G
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1061
Mailing Address - Country:US
Mailing Address - Phone:917-250-6409
Mailing Address - Fax:
Practice Address - Street 1:9229 QUEENS BLVD APT 14G
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1061
Practice Address - Country:US
Practice Address - Phone:917-250-6409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1396171005OtherINDIVIDUAL NPI