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NPI Code Detail

MEDICARE: JIN QUAN HUANG

MEDICARE: JIN QUAN HUANG
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
1171100000XAcupuncturist003450NY

General Provider Information

NPI Number : 1578798948
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIN QUAN HUANG
Provider Business Mailing Address
First Line : 1963 GRAND CONCOURSE FL 2
Second Line :
City : BRONX
State : NY
Zip : 10453-4995
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1963 GRAND CONCOURSE FL 2
Second Line :
City : BRONX
State : NY
Zip : 10453-4995
Country : US
Telephone Number : 718-294-5000
Fax Number : 718-294-6060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 05/28/2009

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