MEDICARE: SPRING HEALTH 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	:	1396413191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING HEALTH ACUPUNCTURE P.C.

Provider Business Mailing Address
First Line	:	5 BEAUMONT DR
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-2507
Country	:	US
Telephone Number	:	917-362-3868
Fax Number	:

Provider Business Practice Location Address
First Line	:	23A MIDDLE NECK RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-2319
Country	:	US
Telephone Number	:	917-362-3868
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	XU GAO
Credential	:
Telephone Number	:	917-362-3868

Provider Enumeration Date	:	09/06/2021
Last Update Date	:	09/06/2021

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