MEDICARE: LI MASSAGE & ACUPUNCTURE PLLC

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	225700000X	Massage Therapist
2	171100000X	Acupuncturist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007678	OTHER	NY	ACUPUNCTURE

General Provider Information

NPI Number	:	1740003813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LI MASSAGE & ACUPUNCTURE PLLC

Provider Business Mailing Address
First Line	:	16 W 37TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7404
Country	:	US
Telephone Number	:	917-815-4558
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 W 37TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7404
Country	:	US
Telephone Number	:	914-893-8688
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	XIAOZHEN LI
Credential	:
Telephone Number	:	917-815-1768

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	06/23/2025

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