MEDICARE: XU RI ACUPUNCTURE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1144833260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XU RI ACUPUNCTURE P.C.

Provider Business Mailing Address
First Line	:	2022 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2022 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1603
Country	:	US
Telephone Number	:	718-886-9236
Fax Number	:	716-886-9233

Authorized Official
Title or Position	:	L.AC.
Name	:	MS. YUANYUAN CHENG
Credential	:
Telephone Number	:	718-886-9236

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	05/17/2024

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