MEDICARE: HOLD MIDDLE 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	003104	NY

General Provider Information

NPI Number	:	1215255807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLD MIDDLE ACUPUNCTURE P.C.

Provider Business Mailing Address
First Line	:	3250 BROADWAY APT 5G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-2311
Country	:	US
Telephone Number	:	212-731-9826
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 CENTRAL PARK W STE B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-5204
Country	:	US
Telephone Number	:	212-731-9826
Fax Number	:	646-367-3498

Authorized Official
Title or Position	:	OWNER
Name	:	SHUANG HUO
Credential	:	L AC.
Telephone Number	:	212-731-9826

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	05/07/2010

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