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NPI Code Detail

MEDICARE: CREATIVE ACUPUNCTURE, PC

MEDICARE: CREATIVE ACUPUNCTURE, PC
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1720632763
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREATIVE ACUPUNCTURE, PC
Provider Business Mailing Address
First Line : PO BOX 541307
Second Line :
City : FLUSHING
State : NY
Zip : 11354-7307
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8686 BAY PKWY # M2A
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5119
Country : US
Telephone Number : 718-872-5063
Fax Number : 347-236-3248
Authorized Official
Title or Position : PRESIDENT
Name : HAN XU
Credential :
Telephone Number : 909-808-8808
Provider Enumeration Date : 07/29/2019
Last Update Date : 07/02/2022

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Directions to “CREATIVE ACUPUNCTURE, PC ” Practice Location

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