Provider Demographics
NPI:1982995387
Name:GRAMERCY ACUPUNCTURE PC
Entity Type:Organization
Organization Name:GRAMERCY ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAP
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-677-6682
Mailing Address - Street 1:205 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2506
Mailing Address - Country:US
Mailing Address - Phone:212-677-6682
Mailing Address - Fax:212-677-6969
Practice Address - Street 1:205 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2506
Practice Address - Country:US
Practice Address - Phone:212-677-6682
Practice Address - Fax:212-677-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002059171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty